| NPI | 1619044021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNOLD LOUIS GAUBERT President 337-984-1059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: LA 2533) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2012-02-29 |