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Iennusa Orthodontics, Inc.
Dental Clinic/Center in Mandeville, Louisiana
NPI 1306279039

Iennusa Orthodontics, Inc. is a Dental Clinic/Center based in Mandeville, LA and is specialized in Dental. Iennusa Orthodontics, Inc. practices in Mandeville, LA. The NPI Number for Iennusa Orthodontics, Inc. is 1306279039 and holds a License No. 5188 (Louisiana).

The current practice location address for Iennusa Orthodontics, Inc. is 2245 11Th St Ste C, Mandeville, LA and can be reached out via phone at 985-626-4779.

Location: 2245 11Th St Ste C, Mandeville, LA, 70471-6498
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306279039
Provider Name
Iennusa Orthodontics, Inc.
Credential
Provider Entity Type
Organization
Address
2245 11Th St Ste C, Mandeville, LA, 70471-6498
Phone Number
985-626-4779
Fax Number
Provider Enumeration Date
08/16/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2245 11Th St Ste C
City
Mandeville
State
Louisiana
Zip
70471-6498
Phone Number
985-626-4779
Fax Number
person
Provider Business Mailing Address Details
Address
2245 11Th St Ste C
City
Mandeville
State
Louisiana
Zip
70471-6498
Phone Number
985-626-4779
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
5188 (Louisiana)
Definition
Definition to come...
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