| NPI | 1366782617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J SHELTON Manager 504-304-9929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 6084) |
| Enumeration Date | 2013-02-24 |
| Last Update Date | 2013-09-10 |