NPI | 1639919475 |
---|---|
Doing Business As | JUNGLE ROOTS CHILDREN'S DENTISTRY AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | CHARLOTTE DASCH Director Of Cred And Pr 504-638-0303 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2024-05-29 |
Last Update Date | 2024-05-29 |