Individual
JARVIS BYRON FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1530 E HIGHWAY 30, GONZALES, LA 70737-4766
(225) 647-9028
(225) 647-7883
Mailing address
1530 E HIGHWAY 30, GONZALES, LA 70737-4766
(225) 647-9028
(225) 647-7883
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
LA
Other
Enumeration date
11/14/2006
Last updated
07/21/2022
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