| NPI | 1699195180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA E MARMANDE Office Mgr. 985-851-7905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 5360) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |