Individual
DR. BRIAN DOLIN BASINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
816 PIERREMONT RD, SHREVEPORT, LA 71106-2034
(318) 869-3020
(318) 868-9759
Mailing address
816 PIERREMONT RD, SHREVEPORT, LA 71106-2034
(318) 869-3020
(318) 868-9759
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4937
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1849375
—
LA
Enumeration date
01/03/2007
Last updated
07/08/2007
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