| NPI | 1366119075 |
|---|---|
| Other Name | SPECIALTY DENTAL BRANDS |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE DASCH Director Of Provider Relations 504-638-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2021-08-30 |