| NPI | 1669521738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINA MARIE ELKINS Office Coordinator 985-542-6855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: LA 3483) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2012-06-12 |