| NPI | 1306064936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH V OVERTURF Office Manager Dental Hygienist 318-649-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: LA 3006) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |