| NPI | 1326595216 |
|---|---|
| Doing Business As | MAPLE LEAF MOBILE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DANIEL LESTER Owner 504-427-1810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 30.024883) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |