JADE F FONTENOT DDS LLC

CROWLEY, LA
NPI1861978041
Entity TypeOrganization
Authorized ContactJADE F FONTENOT
Owner
337-783-2455
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  6673)
Enumeration Date2018-07-11
Last Update Date2018-07-11
Business Address
JADE F FONTENOT DDS LLC
725 N AVENUE K
CROWLEY, LA 70526-3848
Phone number: 337-783-2455
Mailing Address
JADE F FONTENOT DDS LLC
725 N AVENUE K
CROWLEY, LA 70526-3848
Phone number: 337-783-2455