Individual
DR. WALLACE G SERPAS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
818 PERDIDO ST, NEW ORLEANS, LA 70112-1026
(504) 525-9990
(504) 525-9050
Mailing address
818 PERDIDO ST, NEW ORLEANS, LA 70112-1026
(504) 525-9990
(504) 525-9050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4377
LA
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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