NPI | 1568504868 |
---|---|
Other Name | LSU DENTAL SCHOOL |
Entity Type | Organization |
Authorized Contact | JOHN GALLO Assistant Dean Of Clinical Affairs 504-941-8110 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: LA 4618) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2010-06-16 |