Organization
AFFORDABLE SMILES OF MANDEVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA COATS (INSURANCE CREDENTIALING MANAGER)
(504) 609-2599
Entity
Organization
Contact information
Practice address
1002 LA - 59, MANDEVILLE, LA 70448
(985) 626-4807
Mailing address
1 GALLERIA BLVD STE 1518, METAIRIE, LA 70001-2082
(504) 609-2599
(504) 386-4956
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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