Organization
PEDOSMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAPNA A PATEL DDS (OWNER)
(985) 688-9878
Entity
Organization
Contact information
Practice address
801 BARROW ST STE 317, HOUMA, LA 70360-4764
(985) 714-0983
Mailing address
610 JEFFERSON PARK AVE, JEFFERSON, LA 70121-1612
(985) 688-9878
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1858811
—
LA
Enumeration date
12/14/2020
Last updated
12/14/2020
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