Individual
DR. CAMILLO F FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1815 CLINTON AVE SOUTH, SUITE 640, ROCHESTER, NY 14618
(585) 442-0990
(585) 442-7310
Mailing address
1815 CLINTON AVE SOUTH, SUITE 640, ROCHESTER, NY 14618
(585) 442-0990
(585) 442-7310
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
036471
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7646
EXCELLUS BLUE CROSS BLUE
NY
Enumeration date
01/24/2007
Last updated
04/11/2014
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