| NPI | 1578696860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE GOLDEN WILLIAMS CEO 225-924-4620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 5609) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2010-11-23 |