Individual
DR. JANA SANAMO CORMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5839 E KINGS HWY, SHREVEPORT, LA 71105-4300
(318) 868-4072
(318) 868-2019
Mailing address
5839 E KINGS HWY, SHREVEPORT, LA 71105-4300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5352
LA
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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