JACOB THOMAS ELLENDER

HOUMA, LA
NPI1295493658
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: LA  7029)
Enumeration Date2021-12-02
Last Update Date2021-12-02
Business Address
JACOB THOMAS ELLENDER DDS
102 RAMEY RD
HOUMA, LA 70360-4056
Phone number: 985-851-1234
Mailing Address
JACOB THOMAS ELLENDER DDS
102 RAMEY RD
HOUMA, LA 70360-4056
Phone number: 985-851-1234
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