| 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 |