TRAVELING LIGHT DENTAL LLC

SHREVEPORT, LA
NPI1083282537
Entity TypeOrganization
Authorized ContactBENJAMIN MARK KACOS
Dentist
318-869-2593
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2021-06-11
Last Update Date2021-06-11
Business Address
TRAVELING LIGHT DENTAL LLC
230 CARROLL ST SUITE 3
SHREVEPORT, LA 71105
Phone number: 318-869-2593
Mailing Address
TRAVELING LIGHT DENTAL LLC
230 CARROLL ST SUITE 3
SHREVEPORT, LA 71105
Phone number: 318-869-2593
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