| NPI | 1275358129 |
|---|---|
| Doing Business As | LANDS END DENTAL |
| Entity Type | Organization |
| Authorized Contact | ROSA MATHAI Dentist 337-353-7736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-11-16 |
| Last Update Date | 2024-11-16 |