Organization
POPE W ODEN III DDS APDC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. POPE WEBB ODEN III DDS (PRESIDENT)
(318) 747-7978
Entity
Organization
Contact information
Practice address
2285 BENTON ROAD, D103, BOSSIER CITY, LA 71111
(318) 747-7978
(318) 747-7978
Mailing address
2285 BENTON ROAD, D103, BOSSIER CITY, LA 71111
(318) 747-7978
(318) 747-0001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4211
LA
Other
Enumeration date
09/07/2006
Last updated
06/20/2013
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