JOHN IENNUSA

MANDEVILLE, LA
NPI1033550181
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: LA  5188)
Enumeration Date2013-07-17
Last Update Date2013-07-17
Business Address
Dr. JOHN IENNUSA DDS
2245 11TH ST STE C
MANDEVILLE, LA 70471-6498
Phone number: 985-626-4779
Mailing Address
Dr. JOHN IENNUSA DDS
2245 11TH ST STE C
MANDEVILLE, LA 70471-6498
Phone number: 985-626-4779
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