Individual
DR. TIMOTHY STEWART FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
149 N 3RD ST, EUNICE, LA 70535-3307
(337) 457-1342
(337) 457-1354
Mailing address
149 N 3RD ST, EUNICE, LA 70535-3307
(337) 457-1342
(337) 457-1354
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5879
LA
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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