NPI | 1194588400 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLOTTE V DASCH Direc Of Cred And Prov Rel 504-638-0303 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2024-01-31 |
Last Update Date | 2024-01-31 |