| NPI | 1730625468 |
|---|---|
| Doing Business As | DOWNTOWN DENTAL |
| Entity Type | Organization |
| Authorized Contact | RICHARD M. RATHKE CEO 985-774-6193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 6312) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-01-19 |