BILLY MELVIN DESOTO

SHREVEPORT, LA
NPI1124181235
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: LA  2098)
Enumeration Date2006-12-19
Last Update Date2007-07-08
Business Address
BILLY MELVIN DESOTO D.D.S.
2515 SOUTHSIDE DR
SHREVEPORT, LA 71118-2120
Phone number: 318-686-6411
Mailing Address
BILLY MELVIN DESOTO D.D.S.
2515 SOUTHSIDE DR
SHREVEPORT, LA 71118-2120
Phone number: 318-686-6411
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