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Organization

SMILESTARS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN RIPPLE (PEDIATRIC DENTIST)
(225) 769-5377
Entity
Organization

Contact information

Practice address
10522 S GLENSTONE PL, BATON ROUGE, LA 70810-2875
(225) 769-5377
(225) 769-7910
Mailing address
10522 S GLENSTONE PL, BATON ROUGE, LA 70810-2875
(225) 769-5377
(225) 769-7910

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1881040
LA
Enumeration date
12/21/2006
Last updated
08/22/2020
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