Individual
DR. STANISLAUS JEAN WAGUESPACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4906 AMBASSADOR CAFFERY PKWY BLDG L, LAFAYETTE, LA 70508-6962
(337) 233-3677
Mailing address
4906 AMBASSADOR CAFFERY PKWY BLDG L, LAFAYETTE, LA 70508-6962
(337) 233-3677
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5218
LA
Other
Enumeration date
04/17/2007
Last updated
01/24/2024
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