Individual
DR. WILLIAM L MCCOLGAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9125 MANSFIELD ROAD, SHREVEPORT, LA 71118
(318) 686-8162
(318) 686-5129
Mailing address
9125 MANSFIELD ROAD, SHREVEPORT, LA 71118
(318) 686-8162
(318) 686-5129
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4568
LA
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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