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Individual

DR. JAMES PATRICK FORTUNATO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
917 MOUNTAIN ST, CARSON CITY, NV 89703-3819
(775) 888-6887
Mailing address
917 MOUNTAIN ST, CARSON CITY, NV 89703-3819
(775) 888-6887

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
36363
CA
122300000X
Dentist
Primary
4072
NV

Other

Enumeration date
07/07/2007
Last updated
06/16/2011
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