| NPI | 1487106910 |
|---|---|
| Doing Business As | METAIRIE MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JACOB DENT Owner 50420-163-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |