| NPI | 1568825461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SLAUGHTER Owner/Provider 225-288-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TX 27169) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-04-19 |