| NPI | 1396800553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD J BOOS Owner 504-456-5033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: LA 2577) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2008-06-26 |