| NPI | 1992364244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE P THOMPSON Financial/Insurance Coordinator 337-364-2156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |