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1508178559
BENJAMIN JOSEPH BUMGARDNER
SHREVEPORT, LA
NPI
1508178559
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 6079)
Enumeration Date
2010-07-07
Last Update Date
2010-07-07
Business Address
Dr. BENJAMIN JOSEPH BUMGARDNER D.D.S.
1625 DAVID RAINES RD
SHREVEPORT, LA 71107-5899
Phone number: 318-425-2252
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Mailing Address
Dr. BENJAMIN JOSEPH BUMGARDNER D.D.S.
1625 DAVID RAINES RD
SHREVEPORT, LA 71107-5899
Phone number: 318-425-2252
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