BENNETT P. FONTENOT

BREAUX BRIDGE, LA
NPI1962559609
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  2964)
Enumeration Date2007-01-04
Last Update Date2007-07-08
Business Address
Dr. BENNETT P. FONTENOT
1329 GRAND POINTE AVE.
BREAUX BRIDGE, LA 70517
Phone number: 337-332-2412
Mailing Address
Dr. BENNETT P. FONTENOT
1329 GRAND POINTE AVE.
BREAUX BRIDGE, LA 70517
Phone number: 337-332-2412
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