Organization
J & J DENTAL
Active
Other names
Peach Tree Dental Monroe
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE HENTON ROBERTS III D.M.D. (PRESIDENT)
(318) 325-4220
Entity
Organization
Contact information
Practice address
2024 FORSYTHE AVE, MONROE, LA 71201-3609
(318) 325-4220
(318) 323-4362
Mailing address
2024 FORSYTHE AVE, MONROE, LA 71201-3609
(318) 325-4220
(318) 323-4362
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3586
LA
1223G0001X
General Practice Dentistry
5205
LA
1223G0001X
General Practice Dentistry
5807
LA
1223G0001X
General Practice Dentistry
Primary
5843
LA
Other
Enumeration date
12/12/2008
Last updated
01/15/2009
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