| NPI | 1235801044 |
|---|---|
| Doing Business As | SLIDELL FAMILY DENTAL CARE, LLC |
| Entity Type | Organization |
| Authorized Contact | BRANDI LYNN MARTINEZ Office Manager 985-643-4553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2021-09-30 |