NPI | 1881708568 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM R LEDOUX President/Owner 985-674-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: LA 2993) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MS 2081) |
Enumeration Date | 2006-08-18 |
Last Update Date | 2022-08-02 |