| NPI | 1144748153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE V DASCH Director Of Credentialing And Pr 504-638-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN 7907) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2024-10-28 |