NPI | 1225801236 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLOTTE E VIAL Direct Of Cred And Prov Rel 504-638-0303 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2023-11-01 |
Last Update Date | 2023-11-01 |