CAROLE SUZANNE WINDHAM

SHREVEPORT, LA
NPI1730372590
Other NameCAROLE SUZANNE EVANS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: LA  4522)
Enumeration Date2007-08-23
Last Update Date2007-08-23
Business Address
DR. CAROLE SUZANNE WINDHAM DDS
6140 LINE AVE
SHREVEPORT, LA 71106-2051
Phone number: 318-865-4620
Mailing Address
DR. CAROLE SUZANNE WINDHAM DDS
6140 LINE AVE
SHREVEPORT, LA 71106-2051
Phone number: 318-865-4620