Nova Dental Group, LLC

NPI #1700137510 in Lafayette, Louisiana

Provider Information

NPI Number
1700137510
Entity Type
Organization
Organization Name
Nova Dental Group, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Sep 20, 2012
Last Updated
Sep 20, 2012

Practice Location

Address
1602 W PINHOOK RD
Address 2
SUITE 303
ZIP Code
70508-3735
Phone
(337) 235-3761

Authorized Official

Name
DR. ERIC NATHANIEL VONDENSTEIN, D.D.S.
Title
DENTIST
Phone
(337) 235-3761

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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