Search › Louisiana › 1223P0700X

Wallace Vannortwick, D.D.S

NPI 1427195254 · on the registry since 2007 · sole proprietor

Practice

Address
7942 Goodwood Blvd
Baton Rouge, LA 70806
Phone
(225) 925-1517
Clinicians at this address
2

Registry record

Primary taxonomy
1223P0700X
1223P0700X
Also registered as
1223P0700X
Licence states on file
LA, FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana