| NPI | 1154552966 |
|---|---|
| Other Name | LOUISIANA CENTER FOR RESTORATIVE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | NELSON PERRY DALY Owner 225-927-5248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: LA 4689) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |