Jade F Fontenot DDS LLC

NPI #1861978041 in Crowley, Louisiana

Provider Information

NPI Number: 1861978041
Entity Type: Organization
Organization Name: Jade F Fontenot DDS LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 11, 2018
Last Updated: Jul 11, 2018

Practice Location

Address: 725 N AVENUE K
City: Crowley
State: Louisiana
ZIP Code: 70526-3848
Phone: (337) 783-2455

Authorized Official

Name: DR. JADE F FONTENOT, DDS
Title: OWNER
Phone: (337) 783-2455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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