| NPI | 1386801298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA PRICE Front Office 985-792-0515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 2638) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |