NPI | 1730549700 |
---|---|
Doing Business As | JOHN C MOREAU JR DDS |
Entity Type | Organization |
Authorized Contact | JOHN C MOREAU Owner 318-442-9555 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 3992) |
Enumeration Date | 2016-03-03 |
Last Update Date | 2016-03-03 |