Individual
MIKAYLA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9445 STEVENS RD, SHREVEPORT, LA 71106-7572
(318) 686-0493
Mailing address
9445 STEVENS RD STE 120, SHREVEPORT, LA 71106-7573
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7664
LA
Other
Enumeration date
03/20/2023
Last updated
12/16/2025
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