Individual
DR. JOHN B FONTANA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1702 LOVERING AVE, WILMINGTON, DE 19806-2141
(302) 652-5312
(302) 652-8679
Mailing address
1702 LOVERING AVE, WILMINGTON, DE 19806-2141
(302) 652-5312
(302) 652-8679
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0861
DE
122300000X
Dentist
861
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510342588
TAX ID
DE
Enumeration date
03/08/2007
Last updated
06/15/2021
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