SHREVEPORT CENTER FOR ORAL AND FACIAL SURGERY, L.L.C.

SHREVEPORT, LA
NPI1245906148
Entity TypeOrganization
Authorized ContactWESLEY D. CARLISLE
Oral And Maxillofacial Surgeon
318-865-0249
Organization Subpart ?No
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
Additional Taxonomies1223S0112X Dentist, Oral and Maxillofacial Surgery
Enumeration Date2021-08-19
Last Update Date2021-08-19
Business Address
SHREVEPORT CENTER FOR ORAL AND FACIAL SURGERY, L.L.C.
915 SHREVEPORT BARKSDALE HWY
SHREVEPORT, LA 71105-2205
Phone number: 318-865-0249
Mailing Address
SHREVEPORT CENTER FOR ORAL AND FACIAL SURGERY, L.L.C.
915 SHREVEPORT BARKSDALE HWY
SHREVEPORT, LA 71105-2205
Phone number: 318-865-0249
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