| 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 |