Acadiana Smiles

NPI 1184915274 - Dentist - 122300000X

NPI Details
NPI 1184915274
Enumeration Date 04/25/2011
Last Updated 04/25/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name SHONTIZE G. SHONTIZE
Position OFFICE MANAGER
Phone (337) 788-0677
Fax (337) 783-0343
Practice Location
608 NORTH AVENUE K
CROWLEY LA, 70526, US
Phone (337) 788-0677
Fax (337) 783-0343
Business Location
608 NORTH AVENUE K
CROWLEY LA, 70526, US
Phone (337) 788-0677
Fax (337) 783-0343
Toxanomy
Taxonomy Code 122300000X
License State Louisiana
License Number 5509
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According to our database, Acadiana Smiles NPI is 1184915274, taxonomy code is 122300000X and license number is 5509, license state is located at Louisiana. Acadiana Smiles physically located at 608 North Avenue K, Crowley LA, 70526. NPI Number 1033115704 has the healthcare provider type.

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1184915274 NPI number is provided on an as is basis without warranty of any kind. 1184915274 is maintained by the National Plan & Provider Enumeration System. The contents of Acadiana Smiles are for informational purposes only.