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Organization
JOHN B, FONTANA, III, DMD, MS, LLC
Active
Organization
JOHN B, FONTANA, III, DMD, MS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BATTISTA FONTANA III D.M.D., M.S. (MANAGER)
(302) 734-1950
Entity
Organization
Contact information
Practice address
910 WALKER RD STE A, DOVER, DE 19904-2759
(302) 734-1950
(302) 734-4097
Mailing address
910 WALKER RD STE A, DOVER, DE 19904-2759
(302) 734-1950
(302) 734-4097
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
G1-0001312
DE
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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