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Organization

JACOB DENT, DDS. BATON ROUGE MODERN DENTISTRY, A PROFESSIONAL CORP

Active
Other names
Baton Rouge Dental Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACOB DENT DDS (OWNER)
(337) 422-3588
Entity
Organization

Contact information

Practice address
14640 VILLAGE MARKET ST, SUITE 103, BATON ROUGE, LA 70817
(337) 422-3588
(337) 214-1676
Mailing address
17000 RED HILL AVENUE, IRVINE, CA 92614
(714) 845-8500
(949) 474-1495

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
09/01/2016
Last updated
09/01/2016
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