NPI | 1063719763 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRY J. BILLINGS President 504-832-2222 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 3524) |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2011-02-16 |
Last Update Date | 2012-09-13 |