| NPI | 1144343906 |
|---|---|
| Other Name | DENTAL SPECIALTY |
| Entity Type | Organization |
| Authorized Contact | LILA C WALIMAA Bookkeeper Secretary 318-388-2630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |