Individual
DR. WILLIAM KEITH DE JONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10154 JEFFERSON HWY, RIVER RIDGE, LA 70123-2446
(504) 738-5171
(504) 738-7923
Mailing address
10154 JEFFERSON HWY, RIVER RIDGE, LA 70123-2446
(504) 738-5171
(504) 738-7923
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3389
LA
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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