| NPI | 1407098619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD R BRASHER Partner 318-445-5471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: LA 2193) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2009-04-02 |