| NPI | 1720491483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THUNGA THI NGUYEN Owner 225-768-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 6280) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |