NPI | 1386845063 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA D. FONTENOT Secretary Treasurer 337-527-3932 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 2102) |
Enumeration Date | 2007-05-30 |
Last Update Date | 2020-08-22 |