NPI | 1235316217 |
---|---|
Doing Business As | DR. LISA BAILEY DDS |
Entity Type | Organization |
Authorized Contact | LISA CHURCHMAN BAILEY Owner 225-644-4976 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: LA 4685) |
Enumeration Date | 2008-01-22 |
Last Update Date | 2008-01-22 |