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Organization
JOSHUA BEAVER DDS LLC
Active
Organization
JOSHUA BEAVER DDS LLC
Active
Other names
Hammond Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA DON BEAVER DDS (OWNER)
(225) 324-5077
Entity
Organization
Contact information
Practice address
104 S SPRUCE ST, HAMMOND, LA 70403-4136
(985) 549-0794
Mailing address
104 S SPRUCE ST, HAMMOND, LA 70403-4136
(985) 549-0794
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1859141
—
LA
Enumeration date
06/10/2021
Last updated
07/06/2021
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