| NPI | 1972946879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUPA JOLLY Owner/Dentist 504-528-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 5521) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2013-04-10 |