NPI | 1225235807 |
---|---|
Doing Business As | LAFAYETTE ORAL SURGERY |
Entity Type | Organization |
Authorized Contact | BRIDGET FABRE Practice Manager 337-984-0403 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: LA 2529) |
Enumeration Date | 2007-06-28 |
Last Update Date | 2025-05-01 |