| NPI | 1114317666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY JOSEPH BLANCHETTE Dentist / Owner 337-625-2671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA LA3929) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-04 |