Twinklingsmiles Of Oakdale | |
200 N 15th St Oakdale LA 71463-2732 | |
(202) 215-4731 | |
Not Available |
Full Name | Twinklingsmiles Of Oakdale |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 200 N 15th St, Oakdale, Louisiana |
Authorized Official Name and Position | Katina Rene Beverly (PEDIATRIC DENTIST) |
Authorized Official Contact | 12022154731 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Twinklingsmiles Of Oakdale 200 N 15th St Oakdale LA 71463-2732 Ph: () - | Twinklingsmiles Of Oakdale 200 N 15th St Oakdale LA 71463-2732 Ph: (202) 215-4731 |
NPI Number | 1568842987 |
---|---|
Provider Enumeration Date | 06/01/2015 |
Last Update Date | 06/02/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568842987 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 5856 (Louisiana) | Primary |
1223P0221X | Dentist - Pediatric Dentistry | 5857 (Louisiana) | Secondary |