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1003825472
ANDREW DENTINO MD AND WILLIS-KNIGHTON MEDICAL CENTER
SHREVEPORT, LA
NPI
1003825472
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Entity Type
Organization
Authorized Contact
GREG J. GAVIN
Network Administrator
318-212-4571
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2006-08-05
Last Update Date
2020-08-22
Business Address
ANDREW DENTINO MD AND WILLIS-KNIGHTON MEDICAL CENTER
2551 GREENWOOD RD SUITE 310
SHREVEPORT, LA 71103-3981
Phone number: 318-212-8780
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Mailing Address
ANDREW DENTINO MD AND WILLIS-KNIGHTON MEDICAL CENTER
2551 GREENWOOD RD SUITE 310
SHREVEPORT, LA 71103-3981
Phone number: 318-212-8780
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