Organization
TWINKLINGSMILES OF OAKDALE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATINA RENE BEVERLY (PEDIATRIC DENTIST)
12022154731
Entity
Organization
Contact information
Practice address
200 N 15TH ST, OAKDALE, LA 71463-2732
(202) 215-4731
Mailing address
200 N 15TH ST, OAKDALE, LA 71463-2732
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5856
LA
1223P0221X
Pediatric Dentistry
5857
LA
Other
Enumeration date
06/01/2015
Last updated
06/02/2015
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