Individual
DR. MORGAN MAINS VANZANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2120 BERT KOUN LOOP STE A, SHREVEPORT, LA 71118-3351
(318) 668-3350
Mailing address
6240 MOURNING DOVE DR, BATON ROUGE, LA 70817-1108
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6756
LA
Other
Enumeration date
06/02/2017
Last updated
06/02/2017
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