| NPI | 1770855272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMMAR MEKARI Owner/Dentist 504-888-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: LA 5123) |
| 261QH0100X Clinic/Center Health Service | |
| 261QP3300X Clinic/Center Pain | |
| 261QS0112X Clinic/Center Oral and Maxillofacial Surgery | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2022-02-16 |