| Miles For Smiles, Llc | |
|
610 Texas St Shreveport LA 71101-3554 | |
| (318) 317-2800 | |
| Not Available |
| Full Name | Miles For Smiles, Llc |
|---|---|
| Speciality | Dentist |
| Location | 610 Texas St, Shreveport, Louisiana |
| Authorized Official Name and Position | Ashley Mcclenathen (INSURANCE COORDINATOR) |
| Authorized Official Contact | 3183172800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miles For Smiles, Llc Po Box 78505 Shreveport LA 71137-8505 Ph: (318) 317-2800 | Miles For Smiles, Llc 610 Texas St Shreveport LA 71101-3554 Ph: (318) 317-2800 |
| NPI Number | 1891173449 |
|---|---|
| Provider Enumeration Date | 05/15/2015 |
| Last Update Date | 05/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891173449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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