Organization
BENJAMIN A. BEACH DDS AND ROSS H. DIES DDS MIDCITY, LLC
Active
Other names
DENTAL SPECIALISTS OF SHREVEPORT BOSSIER
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY COPE RHD (PRACTICE MANAGER)
(318) 213-4686
Entity
Organization
Contact information
Practice address
8510 LINE AVE STE A, SHREVEPORT, LA 71106-6119
(318) 686-7470
Mailing address
8510 LINE AVE STE A, SHREVEPORT, LA 71106-6119
(318) 686-7470
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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