| NPI | 1265659569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORBIN JEFFERSON TURPIN Member Owner 318-396-6355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: LA 5146) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |