| NPI | 1891326146 |
|---|---|
| Doing Business As | COLLEGE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CORTNEY TOUPS Office Manager 225-926-4640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |