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1942316096
PETER WALLACE FONTENOT
VILLE PLATTE, LA
NPI
1942316096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: LA 3954)
Enumeration Date
2006-08-22
Last Update Date
2007-07-08
Business Address
-- PETER WALLACE FONTENOT
411 E LINCOLN RD
VILLE PLATTE, LA 70586
Phone number: 337-363-7290
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Mailing Address
-- PETER WALLACE FONTENOT
411 E LINCOLN RD
VILLE PLATTE, LA 70586
Phone number: 337-363-7290
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