Provider Demographics
NPI:1700404522
Name:JACOBO LAFRANCE, ROCIO (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROCIO
Middle Name:
Last Name:JACOBO LAFRANCE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 OLD ATLANTA HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263-6341
Mailing Address - Country:US
Mailing Address - Phone:770-251-6868
Mailing Address - Fax:
Practice Address - Street 1:23 OLD ATLANTA HWY STE 200
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263-6341
Practice Address - Country:US
Practice Address - Phone:770-251-6868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-08
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0160571223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice