Lafayette Modern Dentistry Dental Clinic

Get detailed information about Lafayette Modern Dentistry dental clinic in Irvine California.
Lafayette Modern Dentistry (JACOB DENT, DDS LAFAYETTE MODERN DENTISTRY, A PROFESSIONAL CORPORATION) is a Dental Clinic in Lafayette, Louisiana. Dental care clinics provide dental treatment and oral care to patients of all ages. The NPI Number for Lafayette Modern Dentistry is 1538530381.

The current location address for Lafayette Modern Dentistry is 4243 Ambassador Caffery Pkwy, Ste 118, , Lafayette, Louisiana and the contact number is 337-422-3587 and fax number is 337-214-1675. The mailing address for Lafayette Modern Dentistry is 17000 Red Hill Avenue, , Irvine, California - 92614 (mailing address contact number - 714-845-8890).


Provider Profile Details:
Clinic NameLafayette Modern Dentistry
Provider OrganizationJACOB DENT, DDS LAFAYETTE MODERN DENTISTRY, A PROFESSIONAL CORPORATION
Address4243 Ambassador Caffery Pkwy, Ste 118, ,
Lafayette
Louisiana, 70508
Phone Number337-422-3587
Fax Number337-214-1675
Authorized Official NameDr. Jacob Dent
Authorized Official Title/PositionOnwer Doctor
Authorized Official Contact Number337-422-3587
NPI Number Details:
NPI Number1538530381
Provider Enumeration Date10/19/2015
Last Update Date01/02/2021
Provider Business Mailing Address Details:
Address17000 Red Hill Avenue,
CityIrvine
StateCalifornia
Zip92614
Phone Number714-845-8890
Fax Number949-474-1495
Provider's Primary Taxonomy Details:
TypeDental Providers
SpecialityDentist
Taxonomy122300000X

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