| 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 |