| NPI | 1639935885 |
|---|---|
| Doing Business As | TIMBERLINE SMILES |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE DASCH Director Of Cred & Prov Rel 504-638-0303 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-12-02 |