Individual
DR. CHARLES MARION JOUANDOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3809 JEFFERSON HWY, JEFFERSON, LA 70121-1625
(504) 833-2211
(504) 828-0802
Mailing address
3809 JEFFERSON HWY, JEFFERSON, LA 70121-1625
(504) 833-2211
(504) 828-0802
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5483
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1854832
—
LA
Enumeration date
08/12/2006
Last updated
03/13/2012
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