Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 5383 | LA |
NPI | 1164518858 |
---|---|
Provider Name | Dr. George Henry Arch JR. |
First Address | New Orleans, LA 70115-7416 |
Second Address | New Orleans, LA 70115-7416 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 08/07/2007 |