Organization
ROSS H. DIES, J. CODY COWEN, DDS, BENJAMIN A. BEACH, DDS AND BRYAN STE
Active
Other names
Shreveport Bossier Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSS DIES DDS (OWNER)
(318) 213-4686
Entity
Organization
Contact information
Practice address
3412 BARKSDALE BLVD, 100, BOSSIER CITY, LA 71112-3800
(318) 686-7470
(318) 686-4505
Mailing address
3412 BARKSDALE BLVD, 100, BOSSIER CITY, LA 71112-3800
(318) 686-7470
(318) 686-4505
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4273
LA
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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