Organization
LAKESHORE FAMILY DENTISTRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIE LEAH REINE DDS (OWNER DENTIST)
(985) 643-1852
Entity
Organization
Contact information
Practice address
720 ROBERT BOULEVARD, SLIDELL, LA 70458
(985) 643-1852
(985) 643-1845
Mailing address
720 ROBERT BOULEVARD, SLIDELL, LA 70458
(985) 643-1852
(985) 643-1845
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5503
LA
Other
Enumeration date
11/07/2006
Last updated
08/22/2020
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