| NPI | 1629460530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN BURNS President 504-455-2213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: LA 6458) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |