Organization
SENSATIONAL SMILES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAHISA COLBERT (DENTIST/OWNER)
(913) 485-5238
Entity
Organization
Contact information
Practice address
113 DERBY LN, LAFAYETTE, LA 70508-5977
(337) 993-0303
Mailing address
807 ALBERTSON PKWY STE A, BROUSSARD, LA 70518-5096
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5321
LA
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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