KENNETH WAYNE MOUSER

SHREVEPORT, LA
NPI1689768897
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  4209)
Enumeration Date2006-10-03
Last Update Date2007-07-08
Business Address
Dr. KENNETH WAYNE MOUSER DDS
9091 ELLERBE RD SUITE 300
SHREVEPORT, LA 71106-6738
Phone number: 318-865-7005
Mailing Address
Dr. KENNETH WAYNE MOUSER DDS
9091 ELLERBE RD SUITE 300
SHREVEPORT, LA 71106-6738
Phone number: 318-865-7005
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