Organization
LOUD FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AHIDA OCHILL (OFFICE MANAGER)
(318) 631-3464
Entity
Organization
Contact information
Practice address
2701 FREDERICK ST, SHREVEPORT, LA 71109-3607
(318) 631-3464
(318) 631-3474
Mailing address
2701 FREDERICK ST, SHREVEPORT, LA 71109-3607
(318) 631-3464
(318) 631-3474
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5534
LA
1223G0001X
General Practice Dentistry
6613
LA
Other
Enumeration date
05/30/2017
Last updated
07/21/2022
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