| NPI | 1598580102 |
|---|---|
| Doing Business As | PETITE KREWE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | COURTNEY BRASHIER Member 228-860-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2024-11-19 |