Individual
DR. RODNEY LA'REE PENDLETON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
734 ALLEN AVE, SHREVEPORT, LA 71103-2709
(318) 424-3739
(318) 226-8694
Mailing address
734 ALLEN AVE, SHREVEPORT, LA 71103-2709
(318) 424-3739
(318) 226-8694
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4644
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1846449
—
LA
Enumeration date
06/07/2006
Last updated
07/08/2007
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