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 |