Individual
STEPHEN TYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
275 KAYLA ST STE 100, SHREVEPORT, LA 71105-4257
(318) 865-0530
Mailing address
275 KAYLA ST STE 100, SHREVEPORT, LA 71105-4257
(318) 865-0530
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
6985
LA
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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