| NPI | 1619109204 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | FRANCESCA VELASCO Doctor / Owner 504-227-8577 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 5763) | 
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: LA 5967) | 
| Enumeration Date | 2009-08-14 | 
| Last Update Date | 2009-08-14 |