| NPI | 1184808776 |
|---|---|
| Doing Business As | CREATIVE SMILES DENTAL |
| Entity Type | Organization |
| Authorized Contact | RHONDA O HALDER Owner 504-885-0467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: LA 5279) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: LA 5279) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2008-06-17 |