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Individual

DR. JOHN ERIC MONSOUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
275 KAYLA ST, SUITE 200, SHREVEPORT, LA 71105-4257
(318) 865-4382
(318) 865-4386
Mailing address
275 KAYLA ST, SUITE 200, SHREVEPORT, LA 71105-4257
(318) 865-4382
(318) 865-4386

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3721
LA

Other

Enumeration date
05/21/2008
Last updated
05/21/2008
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