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 |