| NPI | 1578736690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERMAINE TILLAGE THOMPSON Accountant/Fiscal Manager 504-658-2501 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |