Jack Francis Coburn

NPI #1265065049 in Chalmette, Louisiana

Provider Information

NPI Number
1265065049
Entity Type
Individual
Name
Jack Francis Coburn
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 19, 2020
Last Updated
Mar 31, 2023

Practice Location

Address
9020 W JUDGE PEREZ DR
ZIP Code
70043-4500
Phone
(504) 277-4401

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Dentist - General PracticeGeneral Practice

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