Organization
JADE F FONTENOT DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JADE F FONTENOT DDS (OWNER)
(337) 783-2455
Entity
Organization
Contact information
Practice address
725 N AVENUE K, CROWLEY, LA 70526-3848
(337) 783-2455
(337) 783-3815
Mailing address
725 N AVENUE K, CROWLEY, LA 70526-3848
(337) 783-2455
(337) 783-3815
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6673
LA
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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