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Organization
WALTER J. JUNG PROFESSIONAL DENTAL CORPORATION
Active
Organization
WALTER J. JUNG PROFESSIONAL DENTAL CORPORATION
Active
Other names
Southern Louisiana Oral & Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER J JUNG DDS, PC (OWNER)
(225) 767-7212
Entity
Organization
Contact information
Practice address
8680 BLUEBONNET BLVD, SUITE C, BATON ROUGE, LA 70810-7825
(225) 767-7212
(225) 767-0945
Mailing address
8680 BLUEBONNET BLVD, SUITE C, BATON ROUGE, LA 70810-7825
(225) 767-7212
(225) 767-0945
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5295
LA
Other
Enumeration date
03/14/2007
Last updated
07/17/2008
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