MICHAEL FOUNTAIN

FORT SILL, OK
NPI1063518751
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: PA  DS024267L)
Enumeration Date2006-09-16
Last Update Date2011-03-02
Business Address
Dr. MICHAEL FOUNTAIN DDS
2776 RINGGOLD RD FORT SILL DENTAC
FORT SILL, OK 73503-6300
Phone number: 580-442-3905
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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