Individual
GIULIO FORTUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, PHD
Contact information
Practice address
1100 FLORIDA AVE, LOUISIANA STATE UNIVERSITY, NEW ORLEANS, LA 70119-2715
(504) 941-8330
(504) 941-8336
Mailing address
1100 FLORIDA AVE, LOUISIANA STATE UNIVERSITY, NEW ORLEANS, LA 70119-2715
(504) 941-8330
(504) 941-8336
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0915
NC
Other
Enumeration date
02/04/2013
Last updated
08/12/2016
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