Organization
NOVA DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC NATHANIEL VONDENSTEIN D.D.S. (DENTIST)
(337) 235-3761
Entity
Organization
Contact information
Practice address
1602 W PINHOOK RD, SUITE 303, LAFAYETTE, LA 70508-3735
(337) 235-3761
(337) 234-9327
Mailing address
1602 W PINHOOK RD, SUITE 303, LAFAYETTE, LA 70508-3735
(337) 235-3761
(337) 234-9327
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5943
LA
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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