Individual
DR. JOSHUA DON BEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1801 CM FAGAN DR, SUITE 5, HAMMOND, LA 70403-5849
(225) 324-5507
Mailing address
1801 CM FAGAN DR, SUITE 5, HAMMOND, LA 70403-5849
(225) 324-5507
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5914
LA
Other
Enumeration date
07/09/2010
Last updated
02/10/2011
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