Individual
JON D PERENACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD DDS
Contact information
Practice address
3800 HOUMA BLVD, STE 305, METAIRIE, LA 70006-4182
(504) 889-9893
(504) 889-9895
Mailing address
3800 HOUMA BLVD, STE 305, METAIRIE, LA 70006-4182
(504) 889-9893
(504) 889-9895
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
P88
LA
Other
Enumeration date
09/01/2006
Last updated
08/21/2009
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