| NPI | 1326279498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA EWING HASZINGER Owner 504-443-5882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 5799) |
| Additional Taxonomies | 122300000X Dentist (Licence: LA 5802) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |