| NPI | 1548081037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA DU MOND Owner 504-400-4454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2024-10-18 |
| Last Update Date | 2025-10-24 |