| NPI | 1649016627 |
|---|---|
| Doing Business As | FOOTHILLS PEDIATRIC DENTISTRY (LAFAYETTE) |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE DASCH Director Of Credentialing And Pr 504-638-0303 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-08 |