IENNUSA ORTHODONTICS, INC.

MANDEVILLE, LA
NPI1306279039
Entity TypeOrganization
Authorized ContactJOHN ANTHONY IENNUSA
President/Orthodontist
985-626-4779
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: LA  5188)
Enumeration Date2013-08-16
Last Update Date2013-08-16
Business Address
IENNUSA ORTHODONTICS, INC.
2245 11TH ST STE C
MANDEVILLE, LA 70471-6498
Phone number: 985-626-4779
Mailing Address
IENNUSA ORTHODONTICS, INC.
2245 11TH ST STE C
MANDEVILLE, LA 70471-6498
Phone number: 985-626-4779