Organization
CUDDLE KIDS DENTAL CARE OF SHREVEPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISHELLE WILLIAMS HEMPHILL D.D.S., M.B.A. (PEDIATRIC DENTIST/OWNER)
(318) 564-0595
Entity
Organization
Contact information
Practice address
2433 E 70TH ST, SUITE A, SHREVEPORT, LA 71105-4787
(318) 564-0595
Mailing address
2433 E 70TH ST, SUITE A, SHREVEPORT, LA 71105-4787
(318) 564-0595
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6416
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659523348
—
LA
Enumeration date
12/27/2016
Last updated
12/27/2016
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