Individual
DR. ROBERT W FORNALCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
101 DECATUR DR STE 100, BUTLER, PA 16002
(724) 282-4436
(724) 282-2559
Mailing address
101 DECATUR DR STE 100, BUTLER, PA 16002-3891
(724) 282-4436
(724) 282-2559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS021397L
PA
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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