BENJAMIN JOSEPH BUMGARDNER

SHREVEPORT, LA
NPI1508178559
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  6079)
Enumeration Date2010-07-07
Last Update Date2010-07-07
Business Address
Dr. BENJAMIN JOSEPH BUMGARDNER D.D.S.
1625 DAVID RAINES RD
SHREVEPORT, LA 71107-5899
Phone number: 318-425-2252
Mailing Address
Dr. BENJAMIN JOSEPH BUMGARDNER D.D.S.
1625 DAVID RAINES RD
SHREVEPORT, LA 71107-5899
Phone number: 318-425-2252