Individual
RICHARD EVAN WAMPOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7179 JEFFERSON HWY, BATON ROUGE, LA 70806-8114
(225) 927-5445
Mailing address
7179 JEFFERSON HWY, BATON ROUGE, LA 70806-8114
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7339
LA
Other
Enumeration date
05/02/2022
Last updated
07/13/2023
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