DANIEL FORTINO

SAINT LOUIS, MO
NPI1740641240
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: MO  2016007763)
Enumeration Date2016-03-10
Last Update Date2016-03-10
Business Address
-- DANIEL FORTINO DDS
3320 RUTGER ST
SAINT LOUIS, MO 63104-1122
Phone number: 314-707-2267
Mailing Address
-- DANIEL FORTINO DDS
3320 RUTGER ST
SAINT LOUIS, MO 63104-1122
Phone number: 314-707-2267
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