NPI | 1629060538 |
---|---|
Entity Type | Organization |
Authorized Contact | DWIGHT LANDRY President 504-347-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 3708) |
Enumeration Date | 2005-08-17 |
Last Update Date | 2020-08-22 |