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NINTA SOUTHICHACK

Dentist

NPI: 1629777636Individual

Specialties, Licenses & Credentials

DentistPrimary

Dentist

Code: 122300000X

7641(LA)40137(TX)
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Contact & Hours

Address
230 CARROLL ST STE 3
SHREVEPORT, LA 71105

Quick Facts

NPI
1629777636
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
2
Locations
1

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