| NPI | 1184605750 |
|---|---|
| Doing Business As | FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | RANDALL R PERRY Owner 337-474-0212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 3188) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2020-08-22 |