NPI | 1861691545 |
---|---|
Entity Type | Organization |
Authorized Contact | TERESA ANNE STAMPER Insurance Manager 225-769-3600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: LA 2306) |
Enumeration Date | 2007-07-13 |
Last Update Date | 2007-07-13 |