Individual
KRISTY FORNETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
800 SOUTH CASE STREET, NORWAY, MI 49870-0069
(906) 563-8010
(906) 563-5862
Mailing address
PO BOX 69, NORWAY, MI 49870-0069
(906) 563-8010
(906) 563-5862
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
L1373793
MI
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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