Individual
DR. ERNEST FONTAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4221 DERRY ST, HARRISBURG, PA 17111-2652
(717) 564-1310
(717) 901-4555
Mailing address
4221 DERRY ST, HARRISBURG, PA 17111-2652
(717) 564-1310
(717) 901-4555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-022061-L
PA
Other
Enumeration date
12/31/2006
Last updated
07/08/2007
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