| NPI | 1346760824 |
|---|---|
| Doing Business As | SOUTHERN OAKS FAMILY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JOHN CODY COWEN Partner 225-927-8663 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2018-10-25 |