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 |