KEVIN FORTIER

TAMPA, FL
NPI1699347773
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: FL  DN26763)
Additional Taxonomies122300000X Dentist
(Licence: NC  12398)
Enumeration Date2021-07-16
Last Update Date2022-06-25
Business Address
Dr. KEVIN FORTIER DMD
1701 N LOIS AVE UNIT 145
TAMPA, FL 33607-2353
Phone number: 919-744-9325
Mailing Address
Dr. KEVIN FORTIER DMD
1701 N LOIS AVE UNIT 145
TAMPA, FL 33607-2353
Phone number: 919-744-9325