| NPI | 1548542244 |
|---|---|
| Doing Business As | MODERN AESTHETICS DENTAL CENTRE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL P CIMINO CEO 504-909-9434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24594) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2011-09-20 |