| NPI | 1396045498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH HESS Owner 225-324-7853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: LA 6091) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |