Individual
WALTER JULES VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13323 HOOPER RD., BATON ROUGE, LA 70818
(225) 261-8050
(225) 261-9200
Mailing address
13323 HOOPER ROAD, BATON ROUGE, LA 70818
(225) 261-8050
(225) 261-9200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4014
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1840149
—
LA
Enumeration date
12/28/2006
Last updated
07/08/2007
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