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Individual

DR. HARRY H FONTEYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
748 GREEN PARK AVE, COLONA, IL 61241-9617
(309) 792-2211
(309) 792-4678
Mailing address
748 GREEN PARK AVE, COLONA, IL 61241-9617
(309) 792-2211
(309) 792-4678

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1916576
IL

Other

Enumeration date
08/15/2006
Last updated
07/08/2007
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