Organization
MOTT IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS ANTHONY MOTT DDS (PRESIDENT)
(318) 424-7113
Entity
Organization
Contact information
Practice address
631 MILAM, SUITE 101, SHREVEPORT, LA 71101
(318) 424-7113
(318) 424-7350
Mailing address
631 MILAM ST STE 101, SHREVEPORT, LA 71101-3534
(318) 424-7113
(317) 424-7350
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4247
LA
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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