Organization
GULFSHORE ORAL SURGERY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN JOHN FONTANA DDS, MD (PRESIDENT)
(239) 262-3300
Entity
Organization
Contact information
Practice address
1585 PINE RIDGE RD STE 2, NAPLES, FL 34109-2105
(239) 262-3300
(239) 262-3333
Mailing address
1585 PINE RIDGE RD STE 2, NAPLES, FL 34109-2105
(239) 262-3300
(239) 262-3333
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/30/2013
Last updated
10/25/2013
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