| NPI | 1841363421 |
|---|---|
| Doing Business As | PERIODONTAL ASSOCIATES OF LAFAYETTE |
| Entity Type | Organization |
| Authorized Contact | DAVID ALEXANDER Partner 765-447-9319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |