NPI | 1114451952 |
---|---|
Doing Business As | GEAUX DENTAL |
Entity Type | Organization |
Authorized Contact | JAMIE WILLIAMSON Office Manager 318-949-8344 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: LA 6499) |
Enumeration Date | 2017-04-19 |
Last Update Date | 2023-03-07 |