| NPI | 1992051007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK RICHARD JOSEPHS Oral And Maxillofacial Surgeon 225-744-2660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: LA 6296) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2012-07-25 |