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Individual

DR. STEPHEN DAVID FANTE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2530 N 8TH ST, STE 106, GRAND JUNCTION, CO 81501-8857
(970) 243-7392
(970) 243-8086
Mailing address
2530 N 8TH ST, STE 106, GRAND JUNCTION, CO 81501-8857
(970) 243-7392
(970) 243-8086

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
104924
CO

Other

Enumeration date
07/19/2005
Last updated
07/08/2007
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