Organization
AFFORDABLE SMILES OF GRETNA, LLC
Active
Other names
Exceptional Dental of Louisiana, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA COATS (INSURANCE CREDENTIALING MANAGER)
(504) 609-2599
Entity
Organization
Contact information
Practice address
400 LAPALCO BLVD STE B, GRETNA, LA 70056-7372
(504) 370-9220
(504) 507-8880
Mailing address
400 LAPALCO BLVD STE B, GRETNA, LA 70056-7372
(504) 370-9220
(504) 507-8880
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/17/2019
Last updated
02/08/2021
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