Organization
JACOB DENT DDS. METAIRIE MODERN DENTISTRY A PROFESSIONAL CORPORATION
Active
Other names
Metairie Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB DENT DDS (OWNER)
504201633388
Entity
Organization
Contact information
Practice address
2937 VETERANS MEMORIAL BLVD, STE C, METAIRIE, LA 70002
(504) 206-3338
(504) 208-3647
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8850
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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