Individual
MARIA ELAINE FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
62 2ND PL, BROOKLYN, NY 11231-4106
(718) 797-5437
Mailing address
2649 NATIONAL DR, BROOKLYN, NY 11234-6916
(718) 490-1802
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
062562
NY
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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