Individual
DR. ROSCOE GERARD HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
307 SW EVANGELINE TRWY, LAFAYETTE, LA 70501-7136
(337) 593-9728
(337) 593-9769
Mailing address
307 SW EVANGELINE TRWY, LAFAYETTE, LA 70501-7136
(337) 593-9728
(337) 593-9769
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4188
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841889
—
LA
Enumeration date
06/02/2008
Last updated
06/02/2008
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