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Organization
EXCEPTIONAL DENTAL OF WATSON, LLC
Active
Organization
EXCEPTIONAL DENTAL OF WATSON, LLC
Active
Other names
Exceptional Dental of Louisiana
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA COATS (INSURANCE CREDENTIALING MANAGER)
(504) 609-2599
Entity
Organization
Contact information
Practice address
34659 LA HIGHWAY 16, DENHAM SPRINGS, LA 70706-0667
(504) 232-6624
Mailing address
34659 LA HIGHWAY 16, DENHAM SPRINGS, LA 70706-0667
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5312
LA
Other
Enumeration date
07/19/2018
Last updated
02/08/2021
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