Walter D. Fonfara, D.d.s., P.c.

NPI 1033440961 - Dentist - 122300000X

NPI Details
NPI 1033440961
Enumeration Date 01/15/2010
Last Updated 01/15/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name WALTER WALTER
Position OWNER
Phone (860) 564-1689
Fax (860) 564-1848
Practice Location
542 NORWICH RD
PLAINFIELD CT, 06374-1725, US
Phone (860) 564-1689
Fax (860) 564-1848
Business Location
542 NORWICH RD
PLAINFIELD CT, 06374-1725, US
Phone (860) 564-1689
Fax (860) 564-1848
Toxanomy
Taxonomy Code 122300000X
License State Connecticut
License Number 7841
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According to our database, Walter D. Fonfara, D.d.s., P.c. NPI is 1033440961, taxonomy code is 122300000X and license number is 7841, license state is located at Connecticut. Walter D. Fonfara, D.d.s., P.c. physically located at 542 Norwich Rd, Plainfield CT, 06374-1725. NPI Number 1033115704 has the healthcare provider type.

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1033440961 NPI number is provided on an as is basis without warranty of any kind. 1033440961 is maintained by the National Plan & Provider Enumeration System. The contents of Walter D. Fonfara, D.d.s., P.c. are for informational purposes only.