| NPI | 1952644395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN B GENNARO Dentistis 504-341-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 2285) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-04 |