Individual
DR. HARRY SIMS FOUNTAIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8540 N CANTON CENTER RD, CANTON, MI 48187-1310
(734) 459-1110
Mailing address
8540 N CANTON CENTER RD, CANTON, MI 48187-1310
(734) 459-1110
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10052
MI
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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