NPI | 1649450594 |
---|---|
Entity Type | Organization |
Authorized Contact | TERESA ANNE STAMPER Insurance Manager 225-769-3600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: LA 2719) |
Enumeration Date | 2007-11-08 |
Last Update Date | 2007-11-08 |