| Mott Imaging, Llc | |
|
631 Milam Suite 101 Shreveport LA 71101 | |
| (318) 424-7113 | |
| (318) 424-7350 |
| Full Name | Mott Imaging, Llc |
|---|---|
| Speciality | Dentist |
| Location | 631 Milam, Shreveport, Louisiana |
| Authorized Official Name and Position | Chris Anthony Mott (PRESIDENT) |
| Authorized Official Contact | 3184247113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mott Imaging, Llc 631 Milam St Ste 101 Shreveport LA 71101-3534 Ph: (318) 424-7113 | Mott Imaging, Llc 631 Milam Suite 101 Shreveport LA 71101 Ph: (318) 424-7113 |
| NPI Number | 1720483837 |
|---|---|
| Provider Enumeration Date | 10/31/2014 |
| Last Update Date | 10/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720483837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4247 (Louisiana) | Primary |
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