204E00000X
Baton Rouge, LA
Specialty
204E00000X
Credential
DMD, MD
NPI
1740653146
7777 Hennessy Blvd, Baton Rouge, LA 70808
(225) 214-6688Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 204e00000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 204E00000X