Individual
DR. CLARK DENNIS FORTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
117 E MAIN ST, BERRYVILLE, VA 22611-1302
(540) 955-4220
(540) 955-4069
Mailing address
117 E MAIN ST, BERRYVILLE, VA 22611-1302
(540) 955-4220
(540) 955-4069
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5052
VA
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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