| NPI | 1801192836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY A. INDOVINA Owner/President 504-340-2401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: LA 2650) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2011-02-09 |