| NPI | 1992895833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN T FISHER RANEL President 225-775-3552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 4877) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2010-11-18 |