JAKE OBRIEN

SHREVEPORT, LA
NPI1932557501
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: LA  6652)
Enumeration Date2016-05-24
Last Update Date2016-05-24
Business Address
Dr. JAKE OBRIEN D.D.S.
6150 LINE AVE
SHREVEPORT, LA 71106-2051
Phone number: 318-868-5726
Mailing Address
Dr. JAKE OBRIEN D.D.S.
6150 LINE AVE
SHREVEPORT, LA 71106-2051
Phone number: