| NPI | 1306247556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATARA MCAVOY Chief Financial Officer 504-412-1819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2024-12-04 |