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Ninta Southichack

NPI 1629777636 · on the registry since 2023

Practice

Address
230 Carroll St Ste 3
Shreveport, LA 71105
Phone
(318) 693-0091
Organisation at this address
Traveling Light Dental Llc
Broadmoor Family Dentistry
Christopher Cosse, Dds, L.L.C.
Southfield Family Dentistry, Inc.
Drs Michael J Gambill & Corey J Cloud Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
122300000X
Licence states on file
LA, TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-02-24

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