| NPI | 1114498763 |
|---|---|
| Doing Business As | PINEVILLE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TROY BABB Owner 318-704-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2018-12-07 |