| NPI | 1457578239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC T. GEIST Doctor 318-388-2621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: LA 3287) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |