Organization
SMILE DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE BIONDO DDS (DENTIST/OWNER)
(985) 446-3855
Entity
Organization
Contact information
Practice address
1117 CANAL BLVD, THIBODAUX, LA 70301-4509
(985) 446-3855
Mailing address
205 ABBY LAKE DR, THIBODAUX, LA 70301-1633
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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