Organization
JACOB DENT, DDS JUBAN CROSSING MODERN DENTISTRY A PROFESSIONAL CORPORA
Active
Other names
Juban Crossing Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB DENT DDS (OWNER DOCTOR)
(225) 788-1400
Entity
Organization
Contact information
Practice address
10129 CROSSING WAY, STE 400, DENHAM SPRINGS, LA 70726
(225) 788-1400
(225) 667-0401
Mailing address
17000 RED HILL AVENUE, IRVINE, CA 92614
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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