| NPI | 1043162373 |
|---|---|
| Doing Business As | SOUTH SHREVEPORT DENTAL |
| Entity Type | Organization |
| Authorized Contact | RICHARD ANDREW SIMPSON Manager 318-868-0830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2026-02-10 |
| Last Update Date | 2026-02-10 |