Organization
CHRIS A. MOTT, DDS APDC
Active
Other names
Dr. Chris A. Mott, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
631 MILAM ST STE 101, SHREVEPORT, LA 71101-3534
(318) 424-7113
Mailing address
631 MILAM ST STE 101, SHREVEPORT, LA 71101-3534
(318) 424-7113
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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