| NPI | 1467555805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD WINIFRED KING President 318-686-0572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 1846) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2012-07-27 |