| NPI | 1881972735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH L ODINET Owner 337-234-8648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: 019937) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: LA 019937) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2011-07-26 |