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Search › Louisiana › 122300000X

Bisi Ekundayo, DMD

NPI 1558918722 · on the registry since 2019

Practice

Address
1625 David Raines Rd
Shreveport, LA 71107
Phone
(318) 425-2252
Fax
(318) 425-2367
Organisation at this address
David Raines Community Health Center
David Raines Community Health Center
David Raines Community Health Center Inc
David Raines Community Health Center Inc
David Raines Community Health Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
122300000X
122300000X
Licence states on file
LA, TX, WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-07-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana