Affordable Smiles of Mandeville, LLC
NPI #1407514649 in Mandeville, Louisiana
Provider Information
- NPI Number
- 1407514649
- Entity Type
- Organization
- Organization Name
- Affordable Smiles of Mandeville, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 6, 2021
- Last Updated
- Dec 6, 2021
Practice Location
- Address
- 1002 LA - 59
- City
- Mandeville
- State
- Louisiana
- ZIP Code
- 70448
- Phone
- (985) 626-4807
Authorized Official
- Name
- MRS. SAMANTHA COATS
- Title
- INSURANCE CREDENTIALING MANAGER
- Phone
- (504) 609-2599
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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