Individual
KATIA TUMMALA-HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
385 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71106-8158
(318) 688-9330
Mailing address
385 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71106-8158
(318) 688-9330
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
25888
FL
1223G0001X
General Practice Dentistry
Primary
7264
LA
Other
Enumeration date
06/09/2021
Last updated
09/11/2025
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