Organization
JACQUE V LEBEAU DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUE VICTOR LEBEAU DMD (DENTIST)
(850) 434-1964
Entity
Organization
Contact information
Practice address
1401 N PALAFOX ST, PENSACOLA, FL 32501-2642
(850) 434-1964
Mailing address
1401 N PALAFOX ST, PENSACOLA, FL 32501-2642
(850) 434-1964
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6878
FL
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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