| NPI | 1063521284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD L MILTON Dentist Owner 225-686-7778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 4437) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |