BROADMOOR FAMILY DENTISTRY

SHREVEPORT, LA
NPI1528359536
Entity TypeOrganization
Authorized ContactJENNIFER RIDDELL COOPER
Dentist
318-865-3311
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: LA  5424)
Additional Taxonomies122300000X Dentist
(Licence: LA  5859)
Enumeration Date2011-04-25
Last Update Date2011-04-25
Business Address
BROADMOOR FAMILY DENTISTRY
230 CARROLL ST #4
SHREVEPORT, LA 71105-4248
Phone number: 318-865-3311
Mailing Address
BROADMOOR FAMILY DENTISTRY
230 CARROLL ST #4
SHREVEPORT, LA 71105-4248
Phone number: 318-865-3311
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