Fontana Family Dentistry

NPI 1811059041 - Dentist - 1223G0001X

NPI Details
NPI 1811059041
Enumeration Date 12/14/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GENIE GENIE
Position CONTACT OFFICER
Phone (262) 275-8080
Fax (262) 275-5890
Practice Location
450 MILL ST STE 101
FONTANA WI, 53125-1242, US
Phone (262) 275-8080
Fax (262) 275-5890
Business Location
450 MILL ST STE 101
FONTANA WI, 53125-1242, US
Phone (262) 275-8080
Fax (262) 275-5890
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Fontana Family Dentistry NPI is 1811059041, taxonomy code is 1223G0001X Fontana Family Dentistry physically located at 450 Mill St Ste 101, Fontana WI, 53125-1242. NPI Number 1033115704 has the healthcare provider type.

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1811059041 NPI number is provided on an as is basis without warranty of any kind. 1811059041 is maintained by the National Plan & Provider Enumeration System. The contents of Fontana Family Dentistry are for informational purposes only.