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1063861086
TIMOTHY NATHANIEL TATE
SHREVEPORT, LA
NPI
1063861086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 6678)
Enumeration Date
2016-06-09
Last Update Date
2016-06-09
Business Address
Dr. TIMOTHY NATHANIEL TATE D.D.S
910 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118-3410
Phone number: 318-686-7470
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Mailing Address
Dr. TIMOTHY NATHANIEL TATE D.D.S
5100 MARIGNY ST
NEW ORLEANS, LA 70122-5118
Phone number: 504-909-7434
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