| NPI | 1326637018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SCOTT FARNSWORTH Orthodontist 225-938-8169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-01-16 |
| Last Update Date | 2021-01-16 |