Individual
DR. DAVID WISCHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
910 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71118-3410
(318) 686-7470
Mailing address
201 LARKIN ST, BENTON, LA 71006-8903
(318) 272-5676
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6694
LA
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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