| NPI | 1003943135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON D PARKER President 504-669-8679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: LA 5132) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |