Individual
DR. MARIA LENA FORNATORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-4202
Mailing address
1044 JENKINTOWN RD, JENKINTOWN, PA 19046-3845
(215) 887-7997
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DS029718L
PA
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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