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 |