NPI | 1194954354 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDRIA H YATES Office Manager 225-664-7011 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: LA 2755) |
Enumeration Date | 2009-07-09 |
Last Update Date | 2009-07-09 |