Individual
DR. PAUL J FORNETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1115 S HEMLOCK ST, SUITE 1, IRON MOUNTAIN, MI 49801-3800
(906) 774-4444
Mailing address
1115 S HEMLOCK ST, SUITE 1, IRON MOUNTAIN, MI 49801-3800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901019408
MI
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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