Individual
MITCHELL R. NAITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1501 KINGS HIGHWAY, ORAL SURGERY, SHREVEPORT, LA 71130
(318) 626-0555
Mailing address
1501 KINGS HIGHWAY, ORAL SURGERY, SHREVEPORT, LA 71130
(318) 626-0555
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
06/08/2020
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