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Organization
CHRIS A. MOTT, DDS APDC
Active
Organization
CHRIS A. MOTT, DDS APDC
Active
Other names
Dr. Chris A. Mott, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
631 MILAM ST STE 101, SHREVEPORT, LA 71101-3534
(318) 424-7113
Mailing address
631 MILAM ST STE 101, SHREVEPORT, LA 71101-3534
(318) 424-7113
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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