| NPI | 1316088537 |
|---|---|
| Former Legal Business Name | KIDS AID OF MOBILE PC |
| Entity Type | Organization |
| Authorized Contact | ROGER A FLESHMAN CFO 504-737-0197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |