Individual
DR. RUSSELL L WESTFALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1271 7TH ST, SLIDELL, LA 70458-2041
(985) 643-1010
(985) 641-8896
Mailing address
1271 7TH ST, SLIDELL, LA 70458-2041
(985) 643-1010
(985) 641-8896
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3345
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1-833452
—
LA
Enumeration date
03/17/2006
Last updated
07/08/2007
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