Individual
DR. A RENEE MCINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8938 KINGSTON RD, SHREVEPORT, LA 71118
(318) 686-3899
(318) 686-3997
Mailing address
8938 KINGSTON RD, SHREVEPORT, LA 71118
(318) 686-3899
(318) 686-3997
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4205
LA
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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