| NPI | 1770622060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL KEITH GIROD President 225-644-2183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA LA 3144) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-06-13 |