Individual
JACQUE V LEBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1401 N PALAFOX ST, PENSACOLA, FL 32501-2642
(850) 434-1964
(850) 430-4123
Mailing address
1401 N PALAFOX ST, PENSACOLA, FL 32501-2642
(850) 434-1964
(850) 430-4123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6878
FL
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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