| NPI | 1689862260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ARDOIN Office Manager 318-865-8478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: LA 1612) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |