| NPI | 1467577130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANCERIE J O'ROURKE -ALLEN President 225-218-9218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 5131) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2009-12-09 |