NPI | 1376694414 |
---|---|
Entity Type | Organization |
Authorized Contact | CHEVIES L NEWMAN Dentist 225-383-8359 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 2371) |
Enumeration Date | 2007-01-16 |
Last Update Date | 2012-06-27 |