NPI | 1912251315 |
---|---|
Doing Business As | AFFORDABLE DENTURES & IMPLANTS - SHREVEPORT |
Entity Type | Organization |
Authorized Contact | HALEY WOOSTER Enrollment Manager 984-251-8846 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist (Licence: LA 6219) |
Enumeration Date | 2012-11-07 |
Last Update Date | 2025-05-23 |