| NPI | 1508952763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JAMES MARTIN President/Owner 337-527-8527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: LA 2844) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2008-06-30 |