Organization
EXCEPTIONAL DENTAL OF WATSON, LLC
Active
Other names
Exceptional Dental of Louisiana
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA COATS (INSURANCE CREDENTIALING MANAGER)
(504) 609-2599
Entity
Organization
Contact information
Practice address
34659 LA HIGHWAY 16, DENHAM SPRINGS, LA 70706-0667
(504) 232-6624
Mailing address
34659 LA HIGHWAY 16, DENHAM SPRINGS, LA 70706-0667
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5312
LA
Other
Enumeration date
07/19/2018
Last updated
02/08/2021
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