Individual
DR. CHRISTINE ANN FORTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
32281 CAMINO CAPISTRANO STE C102, SAN JUAN CAPISTRANO, CA 92675-3784
(949) 429-8833
Mailing address
32281 CAMINO CAPISTRANO STE C102, SAN JUAN CAPISTRANO, CA 92675-3784
(949) 429-8833
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
30577
TX
1223P0700X
Prosthodontics
Primary
DDS65045
CA
Other
Enumeration date
02/12/2015
Last updated
06/16/2020
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