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Individual

DR. THOMAS H. WINGO JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

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
1834831
LA
Enumeration date
05/02/2006
Last updated
06/12/2012
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