MARK GABRIEL FONTENOT

LAFAYETTE, LA
NPI1083409098
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: LA  4074)
Enumeration Date2025-04-10
Last Update Date2025-04-10
Business Address
MARK GABRIEL FONTENOT DDS
201 W PINE ST STE B
LAFAYETTE, LA 70501-2913
Phone number: 650-799-1456
Mailing Address
MARK GABRIEL FONTENOT DDS
201 W PINE ST STE B
LAFAYETTE, LA 70501-2913
Phone number: 650-799-1456