| NPI | 1750890166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOPE M TAYLOR Owner/Manager 225-236-8364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: LA 5825) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2018-06-16 |