| NPI | 1023885316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE V DASCH Direc Of Cred & Pr 504-638-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2023-12-06 |