| NPI | 1134367360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH RAY KYLER President 225-292-8010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: LA 4362) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2009-01-26 |