Individual
SARAH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6351 MAIN ST, ZACHARY, LA 70791-4038
(225) 306-2000
Mailing address
PO BOX 770, ZACHARY, LA 70791-0770
(225) 209-0850
(888) 620-5988
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3199
LA
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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