NPI | 1053512467 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS D STRICKLAND Owner 225-665-1212 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 2763) |
Enumeration Date | 2007-05-31 |
Last Update Date | 2012-07-16 |