| NPI | 1750159737 |
|---|---|
| Doing Business As | PEDIATRIC DENTISTRY OF MINDEN |
| Doing Business As | PEDIATRIC DENTISTRY OF CENLA |
| Doing Business As | PEDIATRIC DENTISTRY OF RUSTON |
| Doing Business As | PEDIATRIC DENTISTRY OF NATCHITOCHES |
| Doing Business As | PEDIATRIC DENTISTRY OF SHREVEPORT-BOSSIER |
| Entity Type | Organization |
| Authorized Contact | KRISTAL PATTERSON Office Manager 318-742-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2023-12-19 |