| NPI | 1578973178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MARK PERRY Owner 337-478-0812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA LA 5652) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |