| NPI | 1366766495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYNE ANNETTE SANCHEZ Owner/Dentist 985-727-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 5059) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |