Beautiful Smiles On Teche
Dentist in New Orleans, LA. Organization (NPI-2).
NPI number1275922965
StatusActive
Last updated in NPPESJan 18, 2015
Details
- NPI
- 1275922965
- Entity type
- Organization (NPI-2)
- Legal business name
- Beautiful Smiles On Teche
- Organization subpart
- No
- Enumeration date
- Jan 18, 2015
- Last updated
- Jan 18, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 5691 | LA | Yes |
Practice location
839 Teche StNew Orleans, LA 70114-4339
Phone 504-914-4516
Mailing address
839 Teche StNew Orleans, LA 70114-4339
Phone 504-914-4516
Authorized official
Naja Clanton
Manager
5049144516
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