Individual
DR. JOHN KENNETH LEGLEU JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12071 BRICKSOME DR, BATON ROUGE, LA 70816
(225) 292-8121
Mailing address
12071 BRICKSOME DR, BATON ROUGE, LA 70816
(225) 292-8121
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2730
LA
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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