| NPI | 1689925539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN RIAS BROWN Sole Member 985-643-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: LA 6298) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-11-02 |