| NPI | 1710222666 | 
|---|---|
| Other Name | YALE PEDIATRIC DENTISTRY | 
| Entity Type | Organization | 
| Authorized Contact | JOSEPH ALEXANDER YALE Owner 225-664-2646  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: LA 5675)  | 
| Enumeration Date | 2012-12-04 | 
| Last Update Date | 2012-12-04 |