| NPI | 1174417935 |
|---|---|
| Doing Business As | FONTANA PERIODONTICS AND IMPLANTOLOGY |
| Entity Type | Organization |
| Authorized Contact | TOBIAS K BOEHM Owner Dentist 909-740-4476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2025-06-05 |
| Last Update Date | 2025-06-05 |