| NPI | 1649360082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A STUCKEY Owner Orthodontist 504-835-1349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: LA 3781) |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2020-08-22 |