Individual
DR. LESLIE JUBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
707 CRESCENT AVE, LOCKPORT, LA 70374-2815
(985) 532-3480
Mailing address
217 E 87TH ST, CUT OFF, LA 70345-3831
(985) 696-7397
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7195
LA
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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