Individual
DR. MICHAEL CHRISTOPHER HAYDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
910 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71118-3410
(318) 686-7470
Mailing address
1711 BAYOU CIR, BOSSIER CITY, LA 71112-4034
(318) 464-0902
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6362
LA
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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