PETER WALLACE FONTENOT

VILLE PLATTE, LA
NPI1942316096
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: LA  3954)
Enumeration Date2006-08-22
Last Update Date2007-07-08
Business Address
-- PETER WALLACE FONTENOT
411 E LINCOLN RD
VILLE PLATTE, LA 70586
Phone number: 337-363-7290
Mailing Address
-- PETER WALLACE FONTENOT
411 E LINCOLN RD
VILLE PLATTE, LA 70586
Phone number: 337-363-7290