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Individual

DR. JAMES ERYK HARGROVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
600 N HIGHWAY 190 STE 4, COVINGTON, LA 70433-5083
(985) 893-5522
(985) 871-0742
Mailing address
158 MCGEHEE DR, BATON ROUGE, LA 70815-5012
(225) 275-0123

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5884
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1063657476
NPI ORGANIZATION NUMBER
Enumeration date
10/09/2008
Last updated
12/26/2008
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