| NPI | 1669065470 |
|---|---|
| Other Name | SPECIALTY DENTAL BRANDS |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE DASCH Director Of Operations 504-638-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 122300000X Dentist |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2021-02-12 |