Individual
DR. DANIEL JOHN FORNETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
100 S. STEPHENSON AVE., IRON MOUNTAIN, MI 49801
(906) 774-0100
(905) 774-8904
Mailing address
100 S. STEPHENSON AVE., IRON MOUNTAIN, MI 49801
(906) 774-0100
(905) 774-8904
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2011018508
MO
122300000X
Dentist
Primary
2901020539
MI
Other
Enumeration date
04/13/2011
Last updated
07/09/2019
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