Individual
DR. ALEX GARDNER WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9828 BLUEBONNET SOUTH, SUITE D, BATON ROUGE, LA 70810
(225) 752-3407
Mailing address
560 W 43RD ST, APT.35C, NEW YORK, NY 10036-4300
(917) 657-5233
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5527
LA
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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