| NPI | 1588015531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE WALTERS Associate General Dentist 985-285-1547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: LA 6684) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-06-30 |