| NPI | 1174993661 |
|---|---|
| Doing Business As | FLEUR DE LIS MOBILE DENTAL |
| Entity Type | Organization |
| Authorized Contact | SALLY BOWIE DALY Owner 225-767-5343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: LA 4860) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |