| NPI | 1134253818 |
|---|---|
| Doing Business As | MANDEVILLE CENTER FOR DENTAL EXCELLENCE |
| Entity Type | Organization |
| Authorized Contact | CHARLES A SCHOF Owner 985-626-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: LA 4810) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |