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 |