Individual
DR. JUANITA MARGO FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
278 LAFAYETTE RD, BUILDING E, PORTSMOUTH, NH 03801-5455
(603) 436-7787
(603) 436-8597
Mailing address
278 LAFAYETTE RD, BUILDING E, PORTSMOUTH, NH 03801-5455
(603) 436-7787
(603) 436-8597
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2654
NH
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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