| NPI | 1053177410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE DASCH Direc Of Cred And Prov Rel 504-638-0303 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-02-23 |