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Organization

LOUISIANA ORTHODONTIC SPECIALISTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. E E JEANSONNE JR. DDS (ORTHODONTIST)
(985) 853-8510
Entity
Organization

Contact information

Practice address
1301 W TUNNEL BLVD, STE. B, HOUMA, LA 70360-2600
(985) 853-8510
(985) 853-8582
Mailing address
1301 W TUNNEL BLVD, STE. B, HOUMA, LA 70360-2600
(985) 853-8510
(985) 853-8582

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
OC-11961
LA

Other

Enumeration date
01/09/2007
Last updated
08/22/2020
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