| NPI | 1861870487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH CAMILLE BIHM Member 337-250-2594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 6399) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |