Individual
DR. WYATT AUSTIN VANLANGENDONCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
850 N CANAL BLVD, THIBODAUX, LA 70301-8076
(985) 447-4783
Mailing address
850 N CANAL BLVD, THIBODAUX, LA 70301-8076
(985) 447-4783
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7705
LA
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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