| NPI | 1962597542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEOPATRA EYVONNE THOMPSON Owner 504-739-9778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 5373) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-10-31 |