Organization
RENAISSANCE DENTAL IMPLANT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA COATS (CREDENTIALING SPECIALIST)
(504) 609-2599
Entity
Organization
Contact information
Practice address
3131 VETERANS BLVD., METAIRIE, LA 70002
(504) 609-2599
(504) 386-4956
Mailing address
3131 VETERANS BLVD., METAIRIE, LA 70002
(504) 609-2599
(504) 386-4956
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/28/2025
Last updated
03/10/2025
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