| NPI | 1790175701 |
|---|---|
| Doing Business As | UPTOWN DENTAL |
| Entity Type | Organization |
| Authorized Contact | MELISSA GRAY TOM Manager/Dentist 225-413-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: LA 5985) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-01-28 |