Individual
DR. EDDY WALLER SHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
723 HORSEHOE RD, SUMMERFIELD, LA 71079
(318) 927-2522
Mailing address
PO BOX 191, SUMMERFIELD, LA 71079
(318) 927-2522
(318) 927-1839
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
LA2472
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1824721
—
LA
Enumeration date
11/14/2006
Last updated
07/08/2007
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