Individual
DR. MARY E FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS FACO
Contact information
Practice address
21308 MACK AVENUE, CROSSE POINTE WOODS, MI 48236-1047
(313) 881-8080
(313) 881-8088
Mailing address
21308 MACK AVENUE, CROSSE POINTE WOODS, MI 48236-1047
(313) 881-8080
(313) 881-8088
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14406
MI
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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