Individual
DR. CHARLES JOSEPH FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
923 N EASTERN AVE, CROWLEY, LA 70526-3860
(337) 783-1278
(337) 783-7341
Mailing address
923 N EASTERN AVE, CROWLEY, LA 70526-3860
(337) 783-1278
(337) 783-7341
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2965
LA
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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