| NPI | 1235434002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA P GERMAIN Managing Member 504-895-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: LA 3959) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |