| NPI | 1588858906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE MCVAE VINSON General Dentist 504-282-3354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: LA 1826707) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA 8916) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2008-07-28 |