Individual
ANTHONY JOSEPH FORNETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1115 SOUTH HEMLOCK ST, SUITE 2, IRON MOUNTAIN, MI 49801
(906) 774-2577
(906) 774-6949
Mailing address
1115 SOUTH HEMLOCK ST, SUITE 2, IRON MOUNTAIN, MI 49801
(906) 774-2577
(906) 774-6949
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901011424
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33673200
—
WI
01
—
858871
UNITED CONCORDIA
—
Enumeration date
08/21/2006
Last updated
07/08/2007
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