| NPI | 1194483032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE DASCH Director Of Credentialing & Pr 504-638-0303 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2024-02-26 |