Individual
DR. JOHN A FONTAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
435 MAIN ST, SUITE 2000, FITCHBURG, MA 01420-8026
(978) 343-8380
(978) 345-1301
Mailing address
PO BOX 85, ASHBURNHAM, MA 01430-0085
(978) 827-5544
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12695
MA
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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