| NPI | 1962594069 |
|---|---|
| Doing Business As | AUDUBON DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | KRISTOPHER RAPPELD Dentist/Owner 504-891-7471 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: LA 3385) |
| Additional Taxonomies | 122300000X Dentist (Licence: LA 5145) |
| 122300000X Dentist (Licence: LA 5430) | |
| 122300000X Dentist (Licence: LA 5458) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2014-08-05 |