| NPI | 1245347681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY REITES Vice President 504-896-3901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: LA 2704) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |