| NPI | 1497136923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A. HENDRY Owner 337-234-2349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: LA 3098) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2016-01-21 |