DR. John Iennusa JR., DDS
NPI #1033550181 in Mandeville, Louisiana
Provider Information
- NPI Number
- 1033550181
- Entity Type
- Individual
- Name
- DR. John Iennusa JR., DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- DDS
- Enumeration Date
- Jul 17, 2013
- Last Updated
- Jul 17, 2013
Practice Location
- Address
- 2245 11TH ST STE C
- City
- Mandeville
- State
- Louisiana
- ZIP Code
- 70471-6498
- Phone
- (985) 626-4779
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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