| NPI | 1053814228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIGE FRANK DUNAWAY Owner 337-264-1890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 4067) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-05-10 |