| NPI | 1154543288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE H. SPEEGLE Practice Manager 504-941-8119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: LA 5003) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2014-07-23 |