Individual
DR. THOMAS HERBERT SHIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
307 S WASHINGTON ST, DERIDDER, LA 70634-4861
(337) 463-3036
(337) 463-8554
Mailing address
307 S WASHINGTON ST, DERIDDER, LA 70634-4861
(337) 463-3036
(337) 463-8554
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3090
LA
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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