| NPI | 1700137510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC NATHANIEL VONDENSTEIN Dentist 337-235-3761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 5943) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |