Individual
DANIA MAHMOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1297 SHREVEPORT BARKSDALE HWY, SHREVEPORT, LA 71105
(318) 865-8725
(318) 869-4725
Mailing address
1297 SHREVEPORT BARKSDALE HWY, SHREVEPORT, LA 71105
(318) 865-8725
(318) 869-4725
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
14125
MD
1223G0001X
General Practice Dentistry
Primary
6094
LA
Other
Enumeration date
12/10/2007
Last updated
09/03/2010
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