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Individual

LARRY KENNETH ROBINSON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
(318) 798-5841
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 797-1411
(318) 798-5841

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5525
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1855251
LA
Enumeration date
05/08/2007
Last updated
07/30/2025
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