| NPI | 1376001818 |
|---|---|
| Doing Business As | MISS LOU DENTAL CREEKSIDE |
| Entity Type | Organization |
| Authorized Contact | DALLAS D MORRIS Manager 337-258-8601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2023-03-07 |