| W. J. Dudley Denture Consultants | |
|
4354 Pines Rd Shreveport LA 71119-7738 | |
| (318) 635-1970 | |
| (318) 635-1972 |
| Full Name | W. J. Dudley Denture Consultants |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4354 Pines Rd, Shreveport, Louisiana |
| Authorized Official Name and Position | Erinn Pumphrey Dudley (BOOKKEPER) |
| Authorized Official Contact | 3184220397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| W. J. Dudley Denture Consultants 4354 Pines Rd Shreveport LA 71119-7738 Ph: (318) 635-1970 | W. J. Dudley Denture Consultants 4354 Pines Rd Shreveport LA 71119-7738 Ph: (318) 635-1970 |
| NPI Number | 1295380418 |
|---|---|
| Provider Enumeration Date | 08/05/2019 |
| Last Update Date | 08/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295380418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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