| NPI | 1225132368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP W LAHAYE President Officer 985-446-0988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: LA 2456) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: LA 5412) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2020-08-22 |