RYNE JACKSON

LAKE CHARLES, LA
NPI1619538436
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: LA  7005)
Enumeration Date2019-06-24
Last Update Date2019-06-24
Business Address
RYNE JACKSON DMD
2629 COUNTRY CLUB RD
LAKE CHARLES, LA 70605-5911
Phone number: 337-474-3636
Mailing Address
RYNE JACKSON DMD
5225 ELLIOTT RD APT 517
LAKE CHARLES, LA 70605-5809
Phone number:
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