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Organization

CONTEMPORARY FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY ELIZABETH FONTANA D.D.S. FAGD (DENTIST)
(313) 881-8080
Entity
Organization

Contact information

Practice address
21308 MACK AVENUE, GROSSE POINTE WOODS, MI 48236-1047
(313) 881-8080
(313) 881-8088
Mailing address
21308 MACK AVENUE, GROSSE 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
10/31/2008
Last updated
10/31/2008
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