| NPI | 1659404077 |
|---|---|
| Doing Business As | SOUTHERN LOUISIANA ORAL & MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | WALTER J JUNG Owner 225-767-7212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: LA 5295) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2008-07-17 |