| NPI | 1700118510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES W SIKES Dmd, Md/Owner 318-798-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: LA 4912) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-02-04 |