JACOB ROGER SMITH DDS LLC

AMITE, LA
NPI1942926845
Entity TypeOrganization
Authorized ContactJACOB ROGER SMITH
Owner
985-748-4652
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2022-10-13
Last Update Date2022-10-13
Business Address
JACOB ROGER SMITH DDS LLC
416 N 2ND ST
AMITE, LA 70422
Phone number: 985-748-4652
Mailing Address
JACOB ROGER SMITH DDS LLC
416 N 2ND ST
AMITE, LA 70422-2420
Phone number: 985-748-4652