Individual
LINDA K WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
220 DAVENPORT AVENUE, MER ROUGE, LA 71261
(318) 647-5708
Mailing address
PO BOX 5, MER ROUGE, LA 71261-0005
(318) 647-5708
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2892
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1828921
—
LA
01
—
1880493
GROUP NUMBER
LA
Enumeration date
02/08/2007
Last updated
07/08/2007
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