Individual
JAY HOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
702 N TRENTON ST, RUSTON, LA 71270-3324
(318) 255-9440
(318) 251-1270
Mailing address
1301 FORSYTHE AVE, MONROE, LA 71201-4311
(318) 614-1715
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5843
LA
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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