| NPI | 1245494814 |
|---|---|
| Other Name | LAKETOWN DENTAL |
| Entity Type | Organization |
| Authorized Contact | JACLYN DUBOUE Dentist Owner 504-390-2847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: LA 5635) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2016-01-19 |