| NPI | 1467627794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA P HUGUET Office Manager 337-948-9878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: LA 4255) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: LA 4625) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |