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DR. JENNIFER ROCHELLE EMDADI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
510 E. STONER AVE, OVERTON BROOKS VA MEDICAL CENTER, SHREVEPORT, LA 71101
(318) 221-8411
Mailing address
1301 COATES BLUFF DR, APT#622, SHREVEPORT, LA 71104-2841
(951) 533-2534

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DO NOT APPLY
CA

Other

Enumeration date
06/05/2012
Last updated
07/31/2014
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