| NPI | 1558527689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNELL P BROWN President 337-369-7654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: LA 3527) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2008-07-29 |