| NPI | 1508902834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOLAN H BOUDREAUX Dentist 504-340-0076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 2789) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |