La Vie Dental LLC

NPI #1518714211 in Raceland, Louisiana

Provider Information

NPI Number
1518714211
Entity Type
Organization
Organization Name
La Vie Dental LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
May 1, 2024
Last Updated
May 1, 2024

Practice Location

Address
109 JOHNNY DUFRENE DR
ZIP Code
70394-2611
Phone
(985) 532-5303

Authorized Official

Name
CHARLES JAMES WAGUESPACK, DDS
Title
OWNER/DENTIST
Phone
(985) 532-5303

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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