| NPI | 1215169669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY J ZERINGUE Owner 985-868-5699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: LA 2480) |
| Additional Taxonomies | 122300000X Dentist (Licence: LA 5624) |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2009-08-19 |