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Organization
HOUMA SMILE CENTER
Active
Organization
HOUMA SMILE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE VANBENSCHOTEN (MANAGER)
(870) 834-3000
Entity
Organization
Contact information
Practice address
720 VERRET ST, HOUMA, LA 70360-4634
(504) 388-1023
Mailing address
3330 KINGMAN ST, SUITE III, METAIRIE, LA 70006-4235
(800) 864-1582
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5591
LA
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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