Organization
RALPH B WAUGH DDS MD INC
Active
Other names
Ralph B Waugh DDS MD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH BEVERLY WAUGH DDS MD (PRESIDENT OF CORPORATION)
(661) 948-5061
Entity
Organization
Contact information
Practice address
43713 20TH ST W, #1, LANCASTER, CA 93534
(661) 948-5061
(661) 723-7390
Mailing address
43713 20TH ST W, SUITE #1, LANCASTER, CA 93534
(661) 948-5061
(661) 723-7390
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A225240
—
CA
01
—
14900
DENTAL
CA
Enumeration date
07/13/2007
Last updated
07/13/2007
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