WANDA PUCKETT, DDS
Dentist - General Practice
Active
Individual
NPI: 1285734640
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | No | 08746 (CT) |
| Dentist - General Practice | 1223G0001X | Yes | 6108 (LA) |
Frequently Asked Questions
NPI 1285734640 is the National Provider Identifier for WANDA PUCKETT, DDS, a Dentist - General Practice provider located in Lake Charles, LA. This NPI was enumerated on September 25, 2006.
WANDA PUCKETT, DDS practices at 2000 OPELOUSAS STREET, Lake Charles, LA 70601.
Quick Facts
- NPI
- 1285734640
- Type
- Individual
- Enumerated
- Sep 25, 2006
- Last Updated
- Aug 21, 2013
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