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 |