GREGORY NEIL BANE

SHREVEPORT, LA
NPI1013923093
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  4680)
Enumeration Date2006-07-31
Last Update Date2023-02-15
Business Address
Dr. GREGORY NEIL BANE DDS
510 E STONER AVE BLDG 57
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
Mailing Address
Dr. GREGORY NEIL BANE DDS
10042 TOULOUSE DR
SHREVEPORT, LA 71106-8521
Phone number: 318-464-1088