Individual
DR. JILL ANNETTE CHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1067 TWINING ROAD, BARKSDALE AIR FORCE BASE, LA 71110
(318) 456-4018
(318) 456-6636
Mailing address
1000 RIVERWALK BLVD APT 1012, SHREVEPORT, LA 71105-2755
(801) 725-6365
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-3430
ID
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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