Individual
DR. JAMES T SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
307 S WASHINGTON ST, DERIDDER, LA 70634
(337) 463-3036
Mailing address
307 S WASHINGTON ST, DERIDDER, LA 70634
(337) 463-3036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5822
LA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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