Individual
DR. ANTOINETTE MINNIE SHEPPELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1620 BENTON RD, BOSSIER CITY, LA 71111-3513
(318) 746-2692
Mailing address
1620 BENTON RD, BOSSIER CITY, LA 71111-3513
(318) 746-2692
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5140
LA
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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