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1619753712
KRIS CARROLL
SHREVEPORT, LA
NPI
1619753712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: LA 338624)
Enumeration Date
2023-09-05
Last Update Date
2023-09-05
Business Address
Dr. KRIS CARROLL
2508 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118-3133
Phone number: 318-212-5210
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Mailing Address
Dr. KRIS CARROLL
2508 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118-3133
Phone number:
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