| NPI | 1437530797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA H. PERKINS Owner 504-400-8897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 3786-15) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-06-12 |