Organization
JOHN A FONTAINE DBA PLAZA FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A FONTAINE (OWNER)
(978) 343-8380
Entity
Organization
Contact information
Practice address
435 MAIN ST, SUITE 2000, FITCHBURG, MA 01420-8026
(978) 343-8380
Mailing address
435 MAIN ST, SUITE 2000, FITCHBURG, MA 01420-8026
(978) 343-8380
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12695
MA
Other
Enumeration date
01/04/2007
Last updated
06/16/2008
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