| NPI | 1154667210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH P BRAUD Owner 337-367-1271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: LA 6019) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2013-01-15 |