Wesley O. Lynch III, DDS
Dentist, General Practice in Ruston, LA. Individual provider (NPI-1).
NPI number1053420240
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1053420240
- Entity type
- Individual (NPI-1)
- Name
- Wesley O. Lynch III
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 3430 | LA | Yes |
Practice location
300 E Reynolds DrRuston, LA 71270-2817
Phone 318-251-0163 · Fax 318-251-0143
Mailing address
300 E Reynolds DrRuston, LA 71270-2817
Phone 318-251-0163 · Fax 318-251-0143
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