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DR. JEFFREY STUART LEBLANC D.D.S.

Dental Providers Dentist Orthodontics and Dentofacial Orthopedics

Provider NPI: 1023142171

Provider Information:
DR. JEFFREY STUART LEBLANC D.D.S.
Gender: M
Sole Proprietor

Practice Location:
1500 W 12TH ST  LAUREL, MS 39440-2654 US
Tel: 601-649-3471  Fax: --

Business Mailing Address:
1500 W 12TH ST  LAUREL, MS 39440-2654 US
Tel: 601-649-3471  Fax: --

NPI Information:
NPI: 1023142171
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223X0400XDental Providers
Dentist
Orthodontics and Dentofacial Orthopedics
MS3078-99

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 1223X0400X

Type:

Classification:



Definition:



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