| NPI | 1275698508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGARDO LOUIS RABEL Dentist 225-775-0160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA LA1724) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2018-06-21 |