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1093868713
MICHAEL ROBERT FONTANA
IRWIN, PA
NPI
1093868713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: PA 019730)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL ROBERT FONTANA DMD, P.C.
8791 BARNES LAKE RD SUITE 203
IRWIN, PA 15642-3176
Phone number: 724-863-5077
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Mailing Address
Dr. MICHAEL ROBERT FONTANA DMD, P.C.
8791 BARNES LAKE RD SUITE 203
IRWIN, PA 15642-3176
Phone number: 724-863-5077
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