Individual
DR. DANIEL SHANE MCPHERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2129 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-5327
(318) 797-1873
(318) 797-8892
Mailing address
2129 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-5327
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5195
LA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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