| NPI | 1184167553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD VICTOR BROWN Owner 504-237-1203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MS 3502-09) |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2016-12-02 |