Individual
DR. PAULA ISABEL FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8000 GSRI AVE, BATON ROUGE, LA 70820
(225) 334-1782
Mailing address
12565 JEFFERSON HWY, BATON ROUGE, LA 70816-6239
(225) 802-6303
(504) 896-1418
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
S-430
LA
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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