Nathan Ray Fontenot, Jr., Apdc

NPI #1114262649 in Jennings, Louisiana

Provider Information

NPI Number
1114262649
Entity Type
Organization
Organization Name
Nathan Ray Fontenot, Jr., Apdc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Dec 10, 2012
Last Updated
Dec 10, 2012

Practice Location

Address
715 N MAIN ST
ZIP Code
70546-5311
Phone
(337) 824-4963

Authorized Official

Name
DR. NATHAN RAY FONTENOT JR., D.D.S.
Title
OWNER/DENTIST
Phone
(337) 824-4963

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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