Individual
DR. JARED MICHAEL BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2042 LINE AVE, SHREVEPORT, LA 71104-2125
(318) 425-5356
(318) 674-2898
Mailing address
2042 LINE AVE, SHREVEPORT, LA 71104-2125
(318) 425-5356
(318) 674-2898
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6191
LA
Other
Enumeration date
09/20/2010
Last updated
03/14/2017
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