Organization
MILES FOR SMILES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY MCCLENATHEN (INSURANCE COORDINATOR)
(318) 317-2800
Entity
Organization
Contact information
Practice address
610 TEXAS ST, SHREVEPORT, LA 71101-3554
(318) 317-2800
Mailing address
PO BOX 78505, SHREVEPORT, LA 71137-8505
(318) 317-2800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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