| NPI | 1902915655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONOVAN SOIGNET President 985-446-5211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: LA 5428) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |