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1639191182
BRIAN ROY SMITH
SHREVEPORT, LA
NPI
1639191182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: LA 4752)
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
Dr. BRIAN ROY SMITH DDS
2125 E BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71105-5314
Phone number: 318-797-5812
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Mailing Address
Dr. BRIAN ROY SMITH DDS
2125 E BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71105-5314
Phone number: 318-797-5812
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