| NPI | 1194934612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RICHARD CHURCHMAN Owner 337-478-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 4539) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |