Individual
DR. JACLYN DUBOUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7809 JEFFERSON HWY STE E4, BATON ROUGE, LA 70809-1200
(225) 926-0702
Mailing address
3121 MARYLAND AVE, KENNER, LA 70065
(504) 390-2847
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5635
LA
Other
Enumeration date
11/02/2006
Last updated
12/04/2023
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