Individual
DR. CAMILLO L FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1817 BLACK ROCK TURNPIKE, SUITE 205, FAIRFIELD, CT 06825
(203) 333-4700
(203) 576-0842
Mailing address
1100 KINGS HWY EAST, SUITE 3A, FAIRFIELD, CT 06825
(203) 333-4700
(203) 576-0842
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
09834
CT
1223G0001X
General Practice Dentistry
14299
FL
1223G0001X
General Practice Dentistry
50710
NY
1223G0001X
General Practice Dentistry
DN14299
FL
Other
Enumeration date
08/08/2006
Last updated
10/25/2017
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