| NPI | 1629327507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY LANCE DONALD President/Endodontist 318-324-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: LA 4777) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |