Organization
W. J. DUDLEY DENTURE CONSULTANTS
Active
Other names
professional denture clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERINN PUMPHREY DUDLEY (BOOKKEPER)
(318) 422-0397
Entity
Organization
Contact information
Practice address
4354 PINES RD, SHREVEPORT, LA 71119-7738
(318) 635-1970
(318) 635-1972
Mailing address
4354 PINES RD, SHREVEPORT, LA 71119-7738
(318) 635-1970
(318) 635-1972
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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