| NPI | 1598432650 |
|---|---|
| Doing Business As | BAYOU DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TUAN NGUYEN COO 870-208-4530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2021-08-26 |