Individual
MICHAEL FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2730 UNIVERSITY BLVD W STE 1010, SILVER SPRING, MD 20902-5902
(240) 752-8822
Mailing address
1844 KENYON ST NW, WASHINGTON, DC 20010-2619
(318) 680-4044
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
228634
MD
Other
Enumeration date
03/26/2020
Last updated
08/31/2022
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