| NPI | 1053383158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ANN MILLER Office Manager 504-468-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: LA 5529) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2020-08-22 |