Individual
DR. DAVID ALLAN FANTUZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1145 BAY RD, WEBSTER, NY 14580-1834
(585) 671-7277
(585) 671-8181
Mailing address
1145 BAY RD, WEBSTER, NY 14580-1834
(585) 671-7277
(585) 671-8181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
040115
NY
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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