Organization
MICHAEL P JUBAN DDS AND JOHN CODY COWEN DDS, JEFFERSON, A PDLLC
Active
Other names
Juban Cowen Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL P JUBAN DDS (OWNER/PARTNER)
(225) 927-8663
Entity
Organization
Contact information
Practice address
8564 JEFFERSON HWY STE A, BATON ROUGE, LA 70809-2424
(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
5646
LA
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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