BENJAMIN ANDY SHIRLEY

BARKSDALE AFB, LA
NPI1801025770
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: LA  7519)
Additional Taxonomies1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: TX  23971)
204E00000X Oral & Maxillofacial Surgery
(Licence: LA  7519)
Enumeration Date2009-07-13
Last Update Date2025-05-27
Business Address
BENJAMIN ANDY SHIRLEY DDS
1067 TWINING DR
BARKSDALE AFB, LA 71110-2486
Phone number: 318-456-6718
Mailing Address
BENJAMIN ANDY SHIRLEY DDS
1067 TWINING DR
BARKSDALE AFB, LA 71110-2486
Phone number: 318-456-6718