Individual
CLAIRE BACKOFEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
318 CARROLL ST, SHREVEPORT, LA 71105-4132
(318) 865-2250
Mailing address
318 CARROLL ST, SHREVEPORT, LA 71105-4132
(318) 865-2250
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7595
LA
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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