Individual
DR. COLTEN DUCOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
7600 FERN AVE STE 600, SHREVEPORT, LA 71105-5688
(318) 797-5812
Mailing address
7600 FERN AVE STE 600, SHREVEPORT, LA 71105-5688
(318) 797-5812
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6495
LA
Other
Enumeration date
07/20/2014
Last updated
07/18/2023
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