| NPI | 1093123416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT A. LEJEUNE President 225-248-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA LA4447) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2014-07-29 |