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1063518751
MICHAEL FOUNTAIN
FORT SILL, OK
NPI
1063518751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: PA DS024267L)
Enumeration Date
2006-09-16
Last Update Date
2011-03-02
Business Address
Dr. MICHAEL FOUNTAIN DDS
2776 RINGGOLD RD FORT SILL DENTAC
FORT SILL, OK 73503-6300
Phone number: 580-442-3905
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Mailing Address
Dr. MICHAEL FOUNTAIN DDS
2776 RINGGOLD RD. USA DENTAL ACTIVITY
FORT SILL, OK 73503
Phone number: 580-442-3905
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