Organization
JACOB DENT, D.D.S., DENTISTS OF MANDEVILLE, A PROFESSIONAL CORPORATION
Active
Other names
Dentists of Mandeville
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB DEN DDS (OWNER)
(714) 845-8500
Entity
Organization
Contact information
Practice address
3421 E CAUSEWAY APPROACH STE A, MANDEVILLE, LA 70448-3447
(985) 746-1629
(985) 746-1310
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/24/2019
Last updated
05/11/2022
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