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JACK COBURN

General Practice Dentistry

NPI: 1265065049Individual

Specialties, Licenses & Credentials

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Dentist — General Practice

Code: 1223G0001X

7163(LA)

Contact & Hours

Address
9020 W JUDGE PEREZ DR
CHALMETTE, LA 70043

Quick Facts

NPI
1265065049
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1

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