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1124181235
BILLY MELVIN DESOTO
SHREVEPORT, LA
NPI
1124181235
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: LA 2098)
Enumeration Date
2006-12-19
Last Update Date
2007-07-08
Business Address
-- BILLY MELVIN DESOTO D.D.S.
2515 SOUTHSIDE DR
SHREVEPORT, LA 71118-2120
Phone number: 318-686-6411
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Mailing Address
-- BILLY MELVIN DESOTO D.D.S.
2515 SOUTHSIDE DR
SHREVEPORT, LA 71118-2120
Phone number: 318-686-6411
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