Individual
CASEY LYNN IVERSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
207 SERIO BLVD, FERRIDAY, LA 71334-2014
(318) 757-4561
Mailing address
4837 HIGHWAY 568, FERRIDAY, LA 71334-4431
(318) 757-3786
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5802
LA
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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