Individual
DR. MICHAEL ROBERT FONTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, P.C.
Contact information
Practice address
8791 BARNES LAKE RD, SUITE 203, IRWIN, PA 15642-3176
(724) 863-5077
(724) 863-9590
Mailing address
8791 BARNES LAKE RD, SUITE 203, IRWIN, PA 15642-3176
(724) 863-5077
(724) 863-9590
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019730
PA
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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