Individual
MS. RACHEL A BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5718 MARINA BAY DR, SHREVEPORT, LA 71119-3918
(903) 387-0728
Mailing address
5718 MARINA BAY DR, SHREVEPORT, LA 71119-3918
(903) 387-0728
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
322567
LA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
S5561
TX
Other
Enumeration date
03/02/2014
Last updated
07/23/2024
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