NPI | 1821305822 |
---|---|
Entity Type | Organization |
Authorized Contact | DUANE ANTHONY SIMIEN Owner/Dentist 504-365-5573 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 5445) |
Enumeration Date | 2010-09-12 |
Last Update Date | 2010-09-12 |