Individual
JOHN JACOB LAUTEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
103 DAVID PL, JACKSONVILLE, NC 28540-8211
(910) 346-8531
Mailing address
103 DAVID PL, JACKSONVILLE, NC 28540-8211
(910) 346-8531
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4082
NC
Other
Enumeration date
12/19/2005
Last updated
01/31/2013
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