Individual
DR. LAMAR E WAGUESPACK II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
109 JOHNNY DUFRENE DR, RACELAND, LA 70394-2611
(985) 532-5303
(985) 532-5305
Mailing address
PO BOX E, MATHEWS, LA 70375-0229
(985) 532-5303
(985) 532-5305
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3038
LA
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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