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Individual
DR. JACQUELINE B SONCEAU
Active
Individual
DR. JACQUELINE B SONCEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4056
SC
1223G0001X
General Practice Dentistry
Primary
8306
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2X4056
—
SC
05
—
5900643
—
NC
Enumeration date
04/05/2006
Last updated
03/12/2012
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