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Organization

ACADIANA SMILES

Active
Parent organization
ACADIANA SMILES
Organization subpart
Yes

Provider details

NPI number
Legal business name
ACADIANA SMILES
Authorized official
MRS. SHONTIZE G. BROWN (OFFICE MANAGER)
(337) 788-0677
Entity
Organization

Contact information

Practice address
608 NORTH AVENUE K, CROWLEY, LA 70526
(337) 788-0677
(337) 783-0343
Mailing address
608 NORTH AVENUE K, CROWLEY, LA 70526
(337) 788-0677
(337) 783-0343

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4940
LA
122300000X
Dentist
5509
LA
122300000X
Dentist
5665
LA

Other

Enumeration date
04/25/2011
Last updated
04/25/2011
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