| NPI | 1396800553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERI DUPONT Insurance Coordinator 504-456-5033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2025-02-12 |