| NPI | 1578938148 |
|---|---|
| Doing Business As | AVENUE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PAUL PEREZ Owner/Dentist 504-304-4761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 6165) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2020-05-28 |