Individual
DR. JOEL EMBREE BURVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
601 W 18TH AVE, COVINGTON, LA 70433-3064
(985) 892-2403
Mailing address
601 W 18TH AVE, COVINGTON, LA 70433-3064
(985) 892-2403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6172
LA
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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