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1013923093
GREGORY NEIL BANE
SHREVEPORT, LA
NPI
1013923093
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 4680)
Enumeration Date
2006-07-31
Last Update Date
2023-02-15
Business Address
Dr. GREGORY NEIL BANE DDS
510 E STONER AVE BLDG 57
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
Dr. GREGORY NEIL BANE DDS
10042 TOULOUSE DR
SHREVEPORT, LA 71106-8521
Phone number: 318-464-1088
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