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1225697196
STEPHEN TYER
SHREVEPORT, LA
NPI
1225697196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223D0001X Dentist, Dental Public Health
(Licence: LA 6985)
Enumeration Date
2019-06-13
Last Update Date
2019-06-13
Business Address
STEPHEN TYER DDS
275 KAYLA ST STE 100
SHREVEPORT, LA 71105-4257
Phone number: 318-865-0530
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Mailing Address
STEPHEN TYER DDS
275 KAYLA ST STE 100
SHREVEPORT, LA 71105-4257
Phone number: 318-865-0530
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