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 |