NPI | 1770323503 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLOTTE DASCH Director Of Cred And Pr 504-638-0303 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
Enumeration Date | 2024-05-29 |
Last Update Date | 2024-05-29 |