NPI | 1508465899 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMANTHA COATS Insurance Credentialing Manager 504-609-2599 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-10-19 |
Last Update Date | 2020-10-19 |