Organization
TOOTH BOOTH, LLC
Active
Other names
Skool Smilez, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANASTATIA SIMIEN DDS (OWNER/OPERATOR)
(337) 255-9267
Entity
Organization
Contact information
Practice address
112 RUE ARGENTEUIL, LAFAYETTE, LA 70506-3726
(337) 255-9267
Mailing address
PO BOX 91392, LAFAYETTE, LA 70509-1392
(337) 255-9267
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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