| NPI | 1538585617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW WILLIAM HEARN Oral Surgeon 504-220-7344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IN 12010718A) |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-03-12 |