| NPI | 1881432623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN O'HARA CORBIN Pediatric Dentist/Owner 225-485-4122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2024-07-16 |