| NPI | 1760082952 |
|---|---|
| Doing Business As | ENLIGHTENDENTAL |
| Entity Type | Organization |
| Authorized Contact | JIMANI BLACKWELL Owner/Dentist 504-507-0128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |