| NPI | 1457235707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLON WALDEL ALBERT Owner 225-445-7464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-07-31 |
| Last Update Date | 2026-02-06 |