Organization · Type 2 NPI
Jacob R Diebold, Dds, LLC
Dental Clinic/Center · St. Francisville, LA
NPI number
1902286941
Active
Practice location
7181 US Highway 61
St. Francisville, LA 70775
Fax (225) 635-2172
Mailing address
PO Box 1068
St. Francisville, LA 70775-1068
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 6554 (LA) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
Other dental clinic/center providers in St. Francisville
About NPI 1902286941
Jacob R Diebold, Dds, LLC's National Provider Identifier is 1902286941, issued on Jun 4, 2015. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in St. Francisville, LA. The record was last updated on Jun 4, 2015.