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1073899001
BENJAMIN COLE FOSTER
SHREVEPORT, LA
NPI
1073899001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: LA 6090)
Enumeration Date
2011-10-21
Last Update Date
2011-10-21
Business Address
Dr. BENJAMIN COLE FOSTER D.D.S.
1914 E 70TH ST
SHREVEPORT, LA 71105-5312
Phone number: 318-797-8833
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Mailing Address
Dr. BENJAMIN COLE FOSTER D.D.S.
620 SOUTHERN TRACE PKWY
SHREVEPORT, LA 71106-9323
Phone number: 318-458-2067
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