| Tooth Booth, Llc | |
|
112 Rue Argenteuil Lafayette LA 70506-3726 | |
| (337) 255-9267 | |
| Not Available |
| Full Name | Tooth Booth, Llc |
|---|---|
| Speciality | Dentist |
| Location | 112 Rue Argenteuil, Lafayette, Louisiana |
| Authorized Official Name and Position | Anastatia Simien (OWNER/OPERATOR) |
| Authorized Official Contact | 3372559267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tooth Booth, Llc Po Box 91392 Lafayette LA 70509-1392 Ph: (337) 255-9267 | Tooth Booth, Llc 112 Rue Argenteuil Lafayette LA 70506-3726 Ph: (337) 255-9267 |
| NPI Number | 1912674086 |
|---|---|
| Provider Enumeration Date | 08/26/2021 |
| Last Update Date | 08/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912674086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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