Individual
DR. JEFFREY VINCENT ANZALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
106 PROFESSIONAL DR, WEST MONROE, LA 71291-5332
(318) 998-3027
Mailing address
106 PROFESSIONAL DR, WEST MONROE, LA 71291-5332
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5305
LA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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