RICHARD C VANDIVER

SHREVEPORT, LA
NPI1932243094
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  4538)
Enumeration Date2007-02-20
Last Update Date2023-03-07
Business Address
Dr. RICHARD C VANDIVER DDS
1625 DAVID RAINES RD
SHREVEPORT, LA 71107-5899
Phone number: 318-841-6048
Mailing Address
Dr. RICHARD C VANDIVER DDS
2125 E BERT KOUNS INDUSTRIAL LOOP UNIT #3
SHREVEPORT, LA 71105-5314
Phone number: 318-349-1909
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