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 |