| NPI | 1659705457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DR. TRACY MANUEL CREAR Dentist/Owner 504-621-7412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 4541) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |