NPI | 1225712284 |
---|---|
Doing Business As | CREATIVE DENTAL STUDIO |
Entity Type | Organization |
Authorized Contact | JOHN LANDRENEAU Owner/Dentist 225-677-9300 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-06-12 |
Last Update Date | 2023-07-21 |