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1881619047
CHARLES JOSEPH FONTENOT
CROWLEY, LA
NPI
1881619047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: LA 2965)
Enumeration Date
2006-07-12
Last Update Date
2007-07-08
Business Address
Dr. CHARLES JOSEPH FONTENOT D.D.S.
923 N EASTERN AVE
CROWLEY, LA 70526-3860
Phone number: 337-783-1278
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Mailing Address
Dr. CHARLES JOSEPH FONTENOT D.D.S.
923 N EASTERN AVE
CROWLEY, LA 70526-3860
Phone number: 337-783-1278
Copy
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