Individual
JACOB RANDALL LABAUVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
42 CHERRY ST # 1, MILFORD, CT 06460-3413
(203) 878-4757
Mailing address
6 TIMBERWOOD CIR, NORTH BRANFORD, CT 06471-1133
(561) 307-6727
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14192
CT
Other
Enumeration date
03/04/2013
Last updated
04/08/2025
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