| NPI | 1194847020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA ANN WILLIAMS President 337-886-1246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 3903) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |