| NPI | 1033445309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN S COLLINS Office Manager 225-292-4321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA LA2911) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: LA LA5396) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2009-10-21 |