| NPI | 1386793594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E E JEANSONNE Orthodontist 985-853-8510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: LA OC-11961) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |