Individual
DR. TESSA M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2960 E GAUSE BLVD, SLIDELL, LA 70461
(985) 641-3988
(985) 646-2536
Mailing address
2960 E GAUSE BLVD, SLIDELL, LA 70461
(985) 641-3988
(985) 646-2536
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5141
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851418
—
LA
Enumeration date
11/27/2006
Last updated
07/08/2007
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