Organization
RONALD C FONTANESI DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD CHARLES FONTANESI DDS (PRESIDENT)
(248) 855-4143
Entity
Organization
Contact information
Practice address
6443 INKSTER RD, SUITE 176, BLOOMFIELD HILLS, MI 48301-1303
(248) 855-4143
(248) 866-4143
Mailing address
6443 INKSTER RD, SUITE 176, BLOOMFIELD HILLS, MI 48301-1303
(248) 855-4143
(248) 866-4143
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901009836
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901009836
DENTAL LICENCE
MI
Enumeration date
11/07/2006
Last updated
09/11/2007
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