| NPI | 1518257500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ALLEN PEARCE Owner 337-269-0564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 4099) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2011-04-12 |