NPI | 1821112210 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBELRY BESSIX Owner 225-625-3251 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 124Q00000X Dental Hygienist |
Enumeration Date | 2007-03-19 |
Last Update Date | 2020-08-22 |