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1285797522
GERARD D FONTAINE
MILWAUKEE, WI
NPI
1285797522
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WI 5002057)
Enumeration Date
2006-12-18
Last Update Date
2007-07-08
Business Address
GERARD D FONTAINE DDS
2406 W CAPITOL DR
MILWAUKEE, WI 53206
Phone number: 414-445-7572
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Mailing Address
GERARD D FONTAINE DDS
7043 W VAN BECK AVE
MILWAUKEE, WI 53220
Phone number: 414-543-5267
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