Organization
MICHAEL P JUBAN DDS AND J CODY COWEN NORTH LLC
Active
Parent organization
MICHAEL P JUBAN DDS AND J CODY COWEN NORTH LLC
Other names
Southern Oaks Family Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHAEL P JUBAN DDS AND J CODY COWEN NORTH LLC
Authorized official
JOHN CODY COWEN DDS (PARTNER)
(225) 927-8663
Entity
Organization
Contact information
Practice address
3557 MONTERREY DR, BATON ROUGE, LA 70814-2918
(225) 927-8663
Mailing address
8564 JEFFERSON HWY STE A, BATON ROUGE, LA 70809-2424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/26/2017
Last updated
10/25/2018
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