| NPI | 1124552799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY DUC TRAN Part Owner 504-388-3675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MS 3773-14) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |