Nicole Suberville Wascom, D.D.S.
NPI #1982807632 in Abita Springs, Louisiana
Provider Information
- NPI Number
- 1982807632
- Entity Type
- Individual
- Name
- Nicole Suberville Wascom, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- D.D.S.
- Enumeration Date
- Jun 8, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 22464 HIGHWAY 435
- City
- Abita Springs
- State
- Louisiana
- ZIP Code
- 70420-2206
- Phone
- (985) 893-7835
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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