| NPI | 1992115919 |
|---|---|
| Doing Business As | SOUTHERN DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | LACEY ADDISON ANDREOTTA Owner, Dentist 504-347-1014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 6350) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |