Individual
DR. WILLIAM BRANTLEY GOYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2001 E 70TH ST, SUITE 606, SHREVEPORT, LA 71105-5328
(318) 789-3300
Mailing address
2001 E 70TH ST, SUITE 606, SHREVEPORT, LA 71105-5328
(318) 789-3300
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2976
LA
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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