Organization
JOSHUA BEAVER DDS LLC
Active
Other names
Hammond Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA DON BEAVER DDS (OWNER)
(225) 324-5077
Entity
Organization
Contact information
Practice address
104 S SPRUCE ST, HAMMOND, LA 70403-4136
(985) 549-0794
Mailing address
104 S SPRUCE ST, HAMMOND, LA 70403-4136
(985) 549-0794
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1859141
—
LA
Enumeration date
06/10/2021
Last updated
07/06/2021
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