Organization
CHRISTINE A FORTMANN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE FORTMANN DDS (OWNER)
(949) 429-8833
Entity
Organization
Contact information
Practice address
32281 CAMINO CAPISTRANO STE C102, SAN JUAN CAPISTRANO, CA 92675-3784
(949) 429-8833
Mailing address
32281 CAMINO CAPISTRANO STE C102, SAN JUAN CAPISTRANO, CA 92675-3784
(949) 429-8833
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
07/22/2020
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