| 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 |