Individual
SHAWN PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
602 PERSHING HWY, JONESBORO, LA 71251-2040
(318) 259-4161
Mailing address
602 PERSHING HWY, JONESBORO, LA 71251-2040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7142
LA
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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