| NPI | 1619203320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL A CRAWFORD Partner 318-747-7020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: LA 3133) |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2009-10-30 |