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1760056634
JACOB ROGER SMITH
AMITE, LA
NPI
1760056634
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: LA 7219)
Enumeration Date
2021-05-16
Last Update Date
2022-10-13
Business Address
JACOB ROGER SMITH DDS
416 N 2ND ST
AMITE, LA 70422-2420
Phone number: 985-748-4652
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Mailing Address
JACOB ROGER SMITH DDS
416 N 2ND ST
AMITE, LA 70422-2420
Phone number: 985-748-4652
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