NPI 1285849166

Randall M. Wilk, MD, DDS, PHD, Apmc

Organisation Oral & Maxillofacial Surgery (D.M.D.) Gretna, LA

Practice location

Address: 120 Meadowcrest St, #300, Gretna, LA 70056
Phone: (504) 362-6135
Fax: (504) 362-6134

Authorised official

Name: Randall M. Wilk
Title: Owner
Phone: (504) 362-6135

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 022962 (LA)

Other Oral & Maxillofacial Surgery providers in Louisiana →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence 4669 (LA)

Other Dentist providers in Louisiana →

Registry record

NPI: 1285849166
Entity type: Organization
NPI issued: 13 May 2007
Record last updated: 11 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.