Individual
MRS. JOAN M FONTANELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3297 WASHINGTON ST, JAMAICA PLAIN, MA 02130-2655
(617) 983-6070
(617) 983-0434
Mailing address
3297 WASHINGTON ST, JAMAICA PLAIN, MA 02130-2655
(617) 983-6070
(617) 983-0434
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7044
MA
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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