JENNIFER J FONTAINE

PORTAGE, IN
NPI1053422022
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12010668A)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
Dr. JENNIFER J FONTAINE D.D.S.
6450 US HIGHWAY 6
PORTAGE, IN 46368-5110
Phone number: 219-763-8112
Mailing Address
Dr. JENNIFER J FONTAINE D.D.S.
PO BOX 1430
PORTAGE, IN 46368-9230
Phone number: 219-763-8112