# VINCENT FONTANA, JR., D.D.S., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013910009
- **Authorized official:** DR. VINCENT FONTANA JR. D.D.S. (PRESIDENT)
- **Authorized official phone:** (210) 826-9523

## Contact information

- **Practice address:** 207 W SUNSET RD, SAN ANTONIO, TX 78209-2634
- **Practice address phone:** (210) 826-9523
- **Practice address fax:** (210) 826-9524
- **Mailing address:** 207 W SUNSET RD, SAN ANTONIO, TX 78209-2634
- **Mailing address phone:** (210) 826-9523
- **Mailing address fax:** (210) 826-9524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 10506 | TX | Yes |

## Other

- **Enumeration date:** 05/24/2005
- **Last updated:** 03/04/2014