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Organization

TSD KENDALL & GENGEL SHREVEPORT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AMBER HALLUM (OFFICE MANAGER)
(903) 758-5551
Entity
Organization

Contact information

Practice address
4354 PINES RD, SHREVEPORT, LA 71119-7738
(318) 635-1970
Mailing address
4354 PINES RD, SHREVEPORT, LA 71119-7738
(318) 635-1970

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
03/14/2026
Last updated
03/14/2026
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