| NPI | 1548709157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA LANDESMAN Owner/Dentist 985-624-2334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 5413) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |