| NPI | 1790767267 |
|---|---|
| Doing Business As | CHRISTUS COUSHATTA DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MONTE WILSON CEO 337-470-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: LA 551RHC-1) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2022-10-20 |