| NPI | 1205196508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DAVENPORT President 504-366-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 5713) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |