Organization
JONATHON B TURGEON A PROFFESSIONAL DENTAL LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN B TURGEON DDS (OWNER)
(318) 741-6778
Entity
Organization
Contact information
Practice address
2160 AIRLINE DR STE B, BOSSIER CITY, LA 71111-3173
(318) 741-6778
Mailing address
2160 AIRLINE DR STE B, BOSSIER CITY, LA 71111-3173
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5937
LA
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
04/04/2013
Last updated
09/14/2016
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