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JAKE ANDREW GRILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
4964 LAPALCO BLVD, MARRERO, LA 70072-4371
(318) 560-7559
Mailing address
401 N CORTEZ ST APT 2339, NEW ORLEANS, LA 70119-4887
(318) 560-7559

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7673
LA

Other

Enumeration date
05/19/2025
Last updated
05/19/2025
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