BRADLEY LEE MOSES

SHREVEPORT, LA
NPI1417448200
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  6975)
Enumeration Date2018-05-29
Last Update Date2019-06-07
Business Address
BRADLEY LEE MOSES DDS
7030 YOUREE DR STE B
SHREVEPORT, LA 71105-5109
Phone number: 318-402-4604
Mailing Address
BRADLEY LEE MOSES DDS
4835 HEARST ST APT 207
METAIRIE, LA 70001-1192
Phone number: 913-602-0519