Mark Gabriel Fontenot, DDS

NPI #1083409098 in Lafayette, Louisiana

Provider Information

NPI Number
1083409098
Entity Type
Individual
Name
Mark Gabriel Fontenot, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Apr 10, 2025
Last Updated
Apr 10, 2025

Practice Location

Address
201 W PINE ST STE B
ZIP Code
70501-2913
Phone
(650) 799-1456

Specialties & Taxonomy Codes

Specialty
Dentist

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