Individual
DR. JACQUELINE RUTH FAUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3008 20TH ST STE H, METAIRIE, LA 70002-4900
(504) 834-1993
(504) 834-1620
Mailing address
3008 20TH ST STE H, METAIRIE, LA 70002-4900
(504) 834-1993
(504) 834-1620
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5964
LA
Other
Enumeration date
06/11/2009
Last updated
02/03/2015
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