Individual
DR. COURTNEY W WIGHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2212 PARIS RD, CHALMETTE, LA 70043-5025
(504) 272-0870
(504) 302-9054
Mailing address
2212 PARIS RD, CHALMETTE, LA 70043-5025
(504) 272-0870
(504) 302-9054
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5746
LA
Other
Enumeration date
10/20/2006
Last updated
01/31/2011
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