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Organization
ADAM P CORMIER DDS APDC
Active
Organization
ADAM P CORMIER DDS APDC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM P CORMIER DDS (OWNER)
(318) 868-4072
Entity
Organization
Contact information
Practice address
5839 E KINGS HWY, SHREVEPORT, LA 71105
(318) 868-4072
(318) 868-2019
Mailing address
5839 E KINGS HWY, SHREVEPORT, LA 71105
(318) 868-4072
(318) 868-2019
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5323
LA
Other
Enumeration date
08/22/2006
Last updated
01/30/2012
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