Individual
DR. KELLY M MILSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1297 SHREVEPORT BARKSDALE HWY, SHREVEPORT, LA 71105-2405
(318) 865-8725
Mailing address
1297 SHREVEPORT BARKSDALE HWY, SHREVEPORT, LA 71105-2405
(318) 865-8725
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6052
LA
Other
Enumeration date
06/24/2010
Last updated
10/23/2014
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