NPI | 1780932830 |
---|---|
Doing Business As | BAYOU CHILDREN'S DENTAL CENTER |
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 |