NPI | 1740411792 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMUEL HART SANDERS Owner 985-876-5430 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 4648) |
Enumeration Date | 2009-08-06 |
Last Update Date | 2009-08-06 |