Nova Dental Group, Llc is a health care provider in Lafayette, LA. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||1602 W Pinhook Rd, Suite 303, Lafayette, LA 70508-3735, US|
|Practice Location Phone||337-235-3761|
|Practice Location Fax||337-234-9327|
|Legal Business Name||NOVA DENTAL GROUP, LLC|
|Enumeration Date ?||Sep 20, 2012|
|Last Update Date ?||Sep 20, 2012|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Dentist||Dental Providers||General Practice||5943||Louisiana|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Nova Dental Group, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Dr. Eric Nathaniel Vondenstein (D.D.S.)|
|Authorized Official Title/Position||DENTIST|
|Authorized Official Phone Number||337-235-3761|