Organization
AMBASSADOR FAMILY DENTISTRY
Active
Other names
Fontenot Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN M FONTENOT DDS (ASSOCIATE)
(337) 981-9923
Entity
Organization
Contact information
Practice address
3233 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70506-7214
(337) 254-4875
(337) 981-9983
Mailing address
3233 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70506-7214
(337) 254-4875
(337) 981-9983
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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