JEFFREY BENNETT JETER

SHREVEPORT, LA
NPI1366456279
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  La3101)
Enumeration Date2006-07-28
Last Update Date2007-07-08
Business Address
Dr. JEFFREY BENNETT JETER D.D.S.
230 CARROLL ST STE 3
SHREVEPORT, LA 71105-4248
Phone number: 318-869-2593
Mailing Address
Dr. JEFFREY BENNETT JETER D.D.S.
461 HARRIS LN
SHREVEPORT, LA 71106-8305
Phone number: 318-797-3924
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