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Organization
TED A FORNETTI DDS PC
Active
Organization
TED A FORNETTI DDS PC
Active
Other names
Ted J Fornetti DDS PC
Organization subpart
No
Provider details
NPI number
Authorized official
TED A FORNETTI DDS (DENTIST)
(906) 774-4444
Entity
Organization
Contact information
Practice address
1115 SOUTH HEMLOCK, SUITE 1, IRON MOUNTAIN, MI 49801
(906) 774-4444
(906) 774-6949
Mailing address
1115 SOUTH HEMLOCK, SUITE 1, IRON MOUNTAIN, MI 49801
(906) 774-4444
(906) 774-6949
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10422
MI
1223G0001X
General Practice Dentistry
2901017898
MI
1223G0001X
General Practice Dentistry
Primary
2901019408
MI
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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