Individual
MRS. HONEY RUSSELL FIASCONARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3200 MONROE HWY, SUITE 150, PINEVILLE, LA 71360-8110
(318) 640-3200
Mailing address
218 GOLDEN LEAF DR, PINEVILLE, LA 71360
(318) 729-6205
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5754
LA
Other
Enumeration date
08/18/2006
Last updated
10/08/2009
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