GERARD D FONTAINE

MILWAUKEE, WI
NPI1285797522
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WI  5002057)
Enumeration Date2006-12-18
Last Update Date2007-07-08
Business Address
-- GERARD D FONTAINE DDS
2406 W CAPITOL DR
MILWAUKEE, WI 53206
Phone number: 414-445-7572
Mailing Address
-- GERARD D FONTAINE DDS
7043 W VAN BECK AVE
MILWAUKEE, WI 53220
Phone number: 414-543-5267