| NPI | 1295893154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD TAYLOR BROWN President 985-893-9425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: LA LA2523) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |