NPI | 1497006522 |
---|---|
Doing Business As | PORT VINCENT DENTAL CARE |
Entity Type | Organization |
Authorized Contact | CARLOS SUADI Owner/Dentist 225-753-5885 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 4818) |
Enumeration Date | 2012-09-28 |
Last Update Date | 2013-01-29 |