| NPI | 1255637005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYFIELD LOTTEN Dentist/Owner 504-482-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: LA 5042) |
| Additional Taxonomies | 122300000X Dentist (Licence: LA 6011) |
| 122300000X Dentist (Licence: LA 5706) | |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-01-26 |