| NPI | 1932490208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J RICHARDSON President 225-218-0225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: LA 3462) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-04-21 |