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1740742105
BRENTON D. BIRD
BOSSIER CITY, LA
NPI
1740742105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: LA 6954)
Enumeration Date
2019-04-04
Last Update Date
2019-05-28
Business Address
Dr. BRENTON D. BIRD DDS
2119 AIRLINE DR STE 700
BOSSIER CITY, LA 71111-3684
Phone number: 318-686-7470
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Mailing Address
Dr. BRENTON D. BIRD DDS
910 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118-3410
Phone number: 318-686-7470
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