Organization · Type 2 NPI

Fern Avenue Dentistry, LLC

General Practice Dentistry · Shreveport, LA

NPI number 1447469069 Active

About NPI 1447469069

Fern Avenue Dentistry, LLC's National Provider Identifier is 1447469069, issued on May 21, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Shreveport, LA. The record was last updated on Aug 22, 2020.