Individual
CANDACE KEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1067 TWINING DR, BARKSDALE AFB, LA 71110-2486
(183) 456-6718
Mailing address
1067 TWINING DR, BARKSDALE AFB, LA 71110-2486
(318) 456-6718
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6886
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2868861
—
LA
Enumeration date
04/04/2018
Last updated
09/25/2023
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