Iennusa Orthodontics, Inc. | |
2245 11th St Ste C Mandeville LA 70471-6498 | |
(985) 626-4779 | |
Not Available |
Full Name | Iennusa Orthodontics, Inc. |
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Speciality | Clinic/center - Dental |
Location | 2245 11th St Ste C, Mandeville, Louisiana |
Authorized Official Name and Position | John Anthony Iennusa (PRESIDENT/ORTHODONTIST) |
Authorized Official Contact | 9856264779 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Iennusa Orthodontics, Inc. 2245 11th St Ste C Mandeville LA 70471-6498 Ph: (985) 626-4779 | Iennusa Orthodontics, Inc. 2245 11th St Ste C Mandeville LA 70471-6498 Ph: (985) 626-4779 |
NPI Number | 1306279039 |
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Provider Enumeration Date | 08/16/2013 |
Last Update Date | 08/16/2013 |
Identifier | Type | State | Issuer |
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1306279039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 5188 (Louisiana) | Primary |
Randall L. Foto Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 645 Lotus Dr N, B, Mandeville, LA 70471 Phone: 985-626-4447 Fax: 985-674-6688 | |
Grand Dentistry Arbor Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 N. Causeway, Mandeville, LA 70448 Phone: 985-778-0096 | |
Jeffrey L Schwab Dds Apdc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 875 Park Ave, Mandeville, LA 70448 Phone: 985-624-7707 | |
Grand Family Dentistry. Com Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2083 3rd St, Mandeville, LA 70471 Phone: 985-231-5796 Fax: 985-624-8881 | |