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 |