Organization
JOHN B, FONTANA, III, DMD, MS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BATTISTA FONTANA III D.M.D., M.S. (MANAGER)
(302) 734-1950
Entity
Organization
Contact information
Practice address
910 WALKER RD STE A, DOVER, DE 19904-2759
(302) 734-1950
(302) 734-4097
Mailing address
910 WALKER RD STE A, DOVER, DE 19904-2759
(302) 734-1950
(302) 734-4097
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
G1-0001312
DE
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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