| NPI | 1801034285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STAN P COWLEY Dentist/Owner 504-831-4895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 2698) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: LA 5472) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |