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1518129998
CLETUS FONMEDIG
ROSEDALE, MD
NPI
1518129998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MD 14798)
Enumeration Date
2008-06-27
Last Update Date
2024-04-17
Business Address
CLETUS FONMEDIG DDS
1709 CHESACO AVE
ROSEDALE, MD 21237-1518
Phone number: 301-437-7749
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Mailing Address
CLETUS FONMEDIG DDS
1709 CHESACO AVE
ROSEDALE, MD 21237-1518
Phone number: 301-437-7749
Copy
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