Organization
JACOB DENT DDS DENTISTS OF LAKE CHARLES A PROFFESSIONAL CORPORATION
Active
Other names
Dentists Of Lake Charles
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB DENT (OWNER)
(337) 210-8664
Entity
Organization
Contact information
Practice address
4750 NELSON RD STE 100, LAKE CHARLES, LA 70605-5382
(337) 210-8864
(337) 210-8864
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8500
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/13/2017
Last updated
05/11/2022
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