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1003092545
ARKLATEX ORAL & MAXILLOFACIAL SURGERY A PARTNERSHIP OF PROFESSIONAL DE
SHREVEPORT, LA
NPI
1003092545
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Entity Type
Organization
Authorized Contact
BRIAN R SMITH
President
318-797-5812
Organization Subpart ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
Enumeration Date
2008-01-15
Last Update Date
2011-02-02
Business Address
ARKLATEX ORAL & MAXILLOFACIAL SURGERY A PARTNERSHIP OF PROFESSIONAL DE
7600 FERN AVE BUILDING 1400
SHREVEPORT, LA 71105-5659
Phone number: 318-797-5812
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Mailing Address
ARKLATEX ORAL & MAXILLOFACIAL SURGERY A PARTNERSHIP OF PROFESSIONAL DE
7600 FERN AVE BUILDING 1400
SHREVEPORT, LA 71105-5659
Phone number: 318-797-5812
Copy
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