Individual
DR. FRANCISCO FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
133 PARK STREET, ALICE HYDE DENTAL CENTER, MALONE, NY 12953
(518) 481-2347
Mailing address
75 PLEASANT ST APT 9B-2, MALONE, NY 12953-1729
(518) 651-4138
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
050938-1
NY
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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