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Organization
JAMES W. SIKES, JR. DMD, MD, LLC
Active
Organization
JAMES W. SIKES, JR. DMD, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES W SIKES JR. DMD, MD (DMD, MD/OWNER)
(318) 798-4466
Entity
Organization
Contact information
Practice address
1455 E BERT KOUNS LOOP, SHREVEPORT, LA 71105-5634
(318) 798-4466
(318) 798-4543
Mailing address
1455 E BERT KOUNS LOOP, SHREVEPORT, LA 71105-5634
(318) 798-4466
(318) 798-4543
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
4912
LA
Other
Enumeration date
02/03/2010
Last updated
02/04/2010
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