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1902012602
GREGORY DEWAYNE BURNS
SHREVEPORT, LA
NPI
1902012602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 5787)
Enumeration Date
2007-05-16
Last Update Date
2011-02-28
Business Address
Dr. GREGORY DEWAYNE BURNS D.D.S.
2010 E. 70TH ST.
SHREVEPORT, LA 71105
Phone number: 318-798-3000
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Mailing Address
Dr. GREGORY DEWAYNE BURNS D.D.S.
2010 E. 70TH ST.
SHREVEPORT, LA 71105
Phone number: 318-798-3000
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