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1437932704
SUPERIOR DENTISTRY LLC
SHREVEPORT, LA
NPI
1437932704
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Entity Type
Organization
Authorized Contact
JAKE OBRIEN
President
318-868-5726
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
Enumeration Date
2023-08-18
Last Update Date
2023-08-18
Business Address
SUPERIOR DENTISTRY LLC
6150 LINE AVE
SHREVEPORT, LA 71106-2051
Phone number: 318-868-5726
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Mailing Address
SUPERIOR DENTISTRY LLC
6150 LINE AVE
SHREVEPORT, LA 71106-2051
Phone number:
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