| NPI | 1134531486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE MURO UST Director 504-460-3419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 6455) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |