NPI | 1518104447 |
---|---|
Entity Type | Organization |
Authorized Contact | TROY L PATTERSON President/Owner/Dentist 504-834-6410 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 5802) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: LA 3450) |
Enumeration Date | 2009-01-14 |
Last Update Date | 2009-01-14 |