| NPI | 1821112210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBELRY BESSIX Owner 225-625-3251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2025-09-11 |