| NPI | 1225355076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L CHAUVIN Owner/President 337-234-2186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 5394) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2010-05-03 |