Individual
MS. MARIA NASSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2508 BERT KOUNS INDUSTRIAL LOOP STE 403, SHREVEPORT, LA 71118-3157
(318) 780-5312
Mailing address
2508 BERT KOUNS INDUSTRIAL LOOP STE 403, SHREVEPORT, LA 71118-3157
(318) 780-5312
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
S-1221
LA
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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