| NPI | 1962089789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LAUGHLIN Dean Lsu School Of Dentistry 504-889-9893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2021-03-26 |