| NPI | 1134132459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E BRUNS Owner Dentist 225-769-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: LA 5173) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |