| NPI | 1447529946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD H EILAND Owner 318-878-2411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: LA LA 2279 LA) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |