Organization
MICHAEL P JUBAN DDS AND J CODY COWEN NORTH APDLLC
Active
Other names
Southern Oaks Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MCCAFFERY (BUSINESS MANAGER)
(225) 927-8663
Entity
Organization
Contact information
Practice address
8670 AIRLINE HIGHWAY, SUITE A, BATON ROUGE, LA 70815
(225) 927-8968
Mailing address
8564 JEFFERSON HWY STE A, BATON ROUGE, LA 70809-2424
(225) 927-8663
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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