Individual
DR. RAYMOND ARTHUR JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7607 FERN AVE, SUITE 800, SHREVEPORT, LA 71105-5739
(318) 797-1181
(318) 797-1180
Mailing address
7607 FERN AVE, SUITE 800, SHREVEPORT, LA 71105-5739
(318) 797-1181
(318) 797-1180
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6042
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1860425
—
LA
Enumeration date
05/24/2010
Last updated
01/04/2012
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