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Individual

DR. CHRIS ANTHONY MOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
631 MILAM, SUITE 101, SHREVEPORT, LA 71101-0000
(318) 424-7113
(318) 424-7350
Mailing address
631 MILAM, SUITE 101, SHREVEPORT, LA 71101-0000
(318) 424-7113
(318) 424-7350

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4247
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1
DENTIST
LA
Enumeration date
10/12/2006
Last updated
07/08/2007
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