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Individual

DR. JENNIFER LEIGH MUNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
4940 LAPALCO BLVD, MARRERO, LA 70072-4321
(504) 340-9334
Mailing address
4940 LAPALCO BLVD, MARRERO, LA 70072-4321
(504) 340-9334

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6527
LA
1223G0001X
General Practice Dentistry
8320
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6527
DENTAL LICENSE
LA
01
8320
DENTAL LICENSE
NC
Enumeration date
01/20/2006
Last updated
09/08/2015
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