| NPI | 1447360524 |
|---|---|
| Doing Business As | SHREVEPORT FAMILY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | ROSS HENRY DIES General Dentist 318-686-7470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |