NPI | 1417278391 |
---|---|
Other Name | IVONNE I. CASTRO D.D.S |
Entity Type | Organization |
Authorized Contact | IVONNE I CASTRO Owner 504-391-0000 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: LA 5437) |
Additional Taxonomies | 122300000X Dentist (Licence: LA 5625) |
1223E0200X Dentist, Endodontics (Licence: LA 5699) | |
Enumeration Date | 2010-06-15 |
Last Update Date | 2010-06-15 |