Healthcare Provider Details
I. General information
NPI: 1386572741
Provider Name (Legal Business Name): SONIC SMILES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1939 HICKORY AVE
HARAHAN LA
70123-5608
US
IV. Provider business mailing address
1939 HICKORY AVE
HARAHAN LA
70123-5608
US
V. Phone/Fax
- Phone: 504-667-3232
- Fax:
- Phone: 504-667-3232
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SONIA
COMAS
Title or Position: OWNER
Credential: DDS
Phone: 504-667-3232