| NPI | 1689934861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON ERNEST HAGLER Owner/Dentist 504-906-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 5929) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |