| NPI | 1770028946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISHELLE WILLIAMS HEMPHILL Pediatric Dentist/Owner 318-564-0595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: LA 6416) |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2016-12-27 |