Individual
DR. JONATHAN SAMUEL DOUCET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
902 JULIA ST, RAYVILLE, LA 71269-2618
(318) 728-8773
Mailing address
902 JULIA ST, RAYVILLE, LA 71269-2618
(318) 728-8773
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6885
LA
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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