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 |