| NPI | 1154628519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L ROBINSON Owner/Doctor 337-474-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 3464) |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2011-02-22 |