Individual
DR. MARIAN E FEDUCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3503 YOUREE DR, SHREVEPORT, LA 71105-2119
(318) 861-7207
(318) 865-6785
Mailing address
3503 YOUREE DR, SHREVEPORT, LA 71105-2119
(318) 861-7207
(318) 865-6785
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3545
LA
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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