Individual
DR. CEDRIC VARDIS LOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1501 KINGS HWY, DEPARTMENT OF ORAL SURGERY, SHREVEPORT, LA 71103-4228
(318) 675-7737
(318) 675-5666
Mailing address
1397 E GLACIER PL, DEPARTMENT OF ORAL SURGERY, CHANDLER, AZ 85249-5458
(480) 459-7282
(318) 631-3464
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5366
LA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5366
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1853666
—
LA
Enumeration date
07/17/2006
Last updated
05/04/2010
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