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1114308582
FERN AVENUE DENTAL CENTER
SHREVEPORT, LA
NPI
1114308582
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Entity Type
Organization
Authorized Contact
PAUL C HEILMAN
Dentist
318-797-1550
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: LA 3291)
Enumeration Date
2015-06-11
Last Update Date
2015-06-11
Business Address
FERN AVENUE DENTAL CENTER
7600 FERN AVE BLDG 1100
SHREVEPORT, LA 71105-5659
Phone number: 318-797-1550
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Mailing Address
FERN AVENUE DENTAL CENTER
7600 FERN AVE BLDG 1100
SHREVEPORT, LA 71105-5659
Phone number: 318-797-1550
Copy
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