Organization · Type 2 NPI

Walter J. Jung Professional Dental Corporation

Oral and Maxillofacial Surgery (Dentist) · Baton Rouge, LA

NPI number 1659404077 Active

Practice location

8680 Bluebonnet Blvd, Suite C
Baton Rouge, LA 70810-7825

Fax (225) 767-0945

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X5295 (LA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1659404077

Walter J. Jung Professional Dental Corporation's National Provider Identifier is 1659404077, issued on Mar 14, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Baton Rouge, LA. The record was last updated on Jul 17, 2008.