NPI | 1508929928 |
---|---|
Entity Type | Organization |
Authorized Contact | SHELBY GEBBS POSNER President 985-845-3211 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: LA 4351) |
Enumeration Date | 2006-12-18 |
Last Update Date | 2008-06-16 |