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 |