| NPI | 1295127397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN C. MELGUIZO Dentist 504-394-4990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA LA3179) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |