SHREVEPORT PERIODONTAL SPECIALISTS

SHREVEPORT, LA
NPI1720803356
Entity TypeOrganization
Authorized ContactANGELA WATSON
COO
318-868-0535
Organization Subpart ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
Enumeration Date2024-11-19
Last Update Date2024-11-19
Business Address
SHREVEPORT PERIODONTAL SPECIALISTS
745 EDGEMONT ST
SHREVEPORT, LA 71106-2246
Phone number: 318-868-0535
Mailing Address
SHREVEPORT PERIODONTAL SPECIALISTS
745 EDGEMONT ST
SHREVEPORT, LA 71106-2246
Phone number: 318-868-0535
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