NPI 1083633861

Ralph W. Wilson, DDS

Practitioner General Practice Dentistry Hammond, LA

Practice location

Address: 1607 Martens Dr, Hammond, LA 70401-1619
Phone: (985) 345-6094
Fax: (985) 345-0108

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 3214 (LA)

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Registry record

NPI: 1083633861
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jul 2006
Record last updated: 8 Jul 2007

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.