NPI | 1881088110 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL DOMINGUE Partner 337-235-1523 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 5893) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: LA 3493) |
Enumeration Date | 2015-03-25 |
Last Update Date | 2015-03-25 |