Organization
JOHN LANDRENEAU
Active
Other names
Creative Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LANDRENEAU (OWNER/DENTIST)
(225) 677-9300
Entity
Organization
Contact information
Practice address
15615 AIRLINE HWY, PRAIRIEVILLE, LA 70769-4675
(225) 677-9300
Mailing address
15615 AIRLINE HWY, PRAIRIEVILLE, LA 70769-4675
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
07/21/2023
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