| NPI | 1548503998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN B TURGEON Owner 318-741-6778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: LA 5937) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2016-09-14 |