| NPI | 1780932830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA ANNE CAVALLINO Dentist Owner 985-868-8331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: LA 5392) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |