Organization
JUSTIN E TARVER DDS APDC
Active
Other names
Tarver family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN E TARVER DDS (OWNER)
(318) 343-6006
Entity
Organization
Contact information
Practice address
92 LINCOLN RD, MONROE, LA 71203-4262
(318) 343-6006
Mailing address
92 LINCOLN RD, MONROE, LA 71203-4262
(318) 343-6006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1858781
—
LA
Enumeration date
07/10/2020
Last updated
07/10/2020
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