| NPI | 1962752766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAOSAT MARIA OLATUNBOSUN General Dentist 225-772-9058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 23931) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-10-02 |