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Individual

DR. JOSEPH OLIVER LAPRAIRIE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
117 W MAGNOLIA ST, BUNKIE, LA 71322-1777
(318) 346-6774
(318) 346-6776
Mailing address
PO BOX 230, BUNKIE, LA 71322-0230
(318) 346-6774
(318) 346-6776

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2364
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1823643
LA
Enumeration date
12/20/2006
Last updated
07/08/2007
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