Individual
JACOB JEANSONNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5188 HIGHLAND RD, BATON ROUGE, LA 70808-6527
(931) 627-7250
Mailing address
5188 HIGHLAND RD, BATON ROUGE, LA 70808-6527
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7491
LA
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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