| NPI | 1851458467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE W HARRISON Owner Partner 225-923-2160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: LA 4584) |
| Additional Taxonomies | 1223E0200X Dentist Endodontics (Licence: LA 3158) |
| 1223E0200X Dentist Endodontics (Licence: LA 3128) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |