Individual
RICHARD A FORTENBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
502 BRIDGE ST, NEW CUMBERLAND, PA 17070-2079
(717) 774-7274
(717) 774-4789
Mailing address
502 BRIDGE ST, NEW CUMBERLAND, PA 17070-2079
(717) 774-7274
(717) 774-4789
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS17732
PA
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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