Organization
JACOB DENT, DDS LAFAYETTE MODERN DENTISTRY, A PROFESSIONAL CORPORATION
Active
Other names
Lafayette Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB DENT DDS (ONWER DOCTOR)
(337) 422-3587
Entity
Organization
Contact information
Practice address
4243 AMBASSADOR CAFFERY PKWY, STE 118, LAFAYETTE, LA 70508
(337) 422-3587
(337) 214-1675
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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