| NPI | 1053939629 |
|---|---|
| Doing Business As | TARVER FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JUSTIN E TARVER Owner 318-343-6006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-07-10 |