| NPI | 1639646995 |
|---|---|
| Doing Business As | SOUTHERN OAKS FAMILY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JOHN CODY COWEN Owner/Partner 318-455-4400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |