| NPI | 1336776731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY SCOTT STRAIN Owner/Dentist 504-835-7210 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2021-11-29 |