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Individual

DR. LEONARD J PIZZOLATTO III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
875 VERRET ST, HOUMA, LA 70360-4635
(985) 851-4633
(985) 851-4634
Mailing address
875 VERRET ST, HOUMA, LA 70360-4635
(985) 851-4633
(985) 851-4634

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3498
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1834980
LA
Enumeration date
07/27/2006
Last updated
07/09/2007
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