| NPI | 1396974655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | S. TROY MILLER Owner 337-984-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: LA 5339) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2009-07-08 |