| NPI | 1538530381 |
|---|---|
| Doing Business As | LAFAYETTE MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JACOB DENT Onwer Doctor 337-422-3587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |