Individual
JOHN F FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3600 RODEO LN STE D1, SANTA FE, NM 87507-5803
(505) 428-8588
Mailing address
3600 RODEO LN STE D1, SANTA FE, NM 87507-5803
(505) 438-8088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5215
NM
Other
Enumeration date
07/26/2011
Last updated
06/13/2022
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