| Sensational Smiles, Llc | |
|
113 Derby Ln Lafayette LA 70508-5977 | |
| (337) 993-0303 | |
| Not Available |
| Full Name | Sensational Smiles, Llc |
|---|---|
| Speciality | Dentist |
| Location | 113 Derby Ln, Lafayette, Louisiana |
| Authorized Official Name and Position | Tahisa Colbert (DENTIST/OWNER) |
| Authorized Official Contact | 9134855238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sensational Smiles, Llc 807 Albertson Pkwy Ste A Broussard LA 70518-5096 Ph: () - | Sensational Smiles, Llc 113 Derby Ln Lafayette LA 70508-5977 Ph: (337) 993-0303 |
| NPI Number | 1639343726 |
|---|---|
| Provider Enumeration Date | 04/18/2008 |
| Last Update Date | 04/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639343726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5321 (Louisiana) | Primary |
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