Individual
DR. NICHOLAS ANDRE FONTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2877 CROOKS RD, SUITE A, TROY, MI 48084-4717
(248) 650-6126
Mailing address
2599 SUMMERLIN CT, SUITE A, ROCHESTER, MI 48306-2290
(248) 650-6126
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10219
MI
Other
Enumeration date
04/09/2007
Last updated
01/14/2014
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