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Organization

THOMAS H. WINGO, JR., D.D.S., LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. VINA MARIE ELKINS (OFFICE COORDINATOR)
(985) 542-6855
Entity
Organization

Contact information

Practice address
1008 W THOMAS ST, HAMMOND, LA 70401-3040
(985) 542-6855
(985) 542-6656
Mailing address
1008 W THOMAS ST, HAMMOND, LA 70401-3040
(985) 542-6855
(985) 542-6656

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3483
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1881023
LA
Enumeration date
01/09/2007
Last updated
06/12/2012
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