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1811059041
FONTANA FAMILY DENTISTRY
FONTANA, WI
NPI
1811059041
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Entity Type
Organization
Authorized Contact
GENIE KUBEL
Contact Officer
920-450-0157
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2006-12-14
Last Update Date
2020-08-22
Business Address
FONTANA FAMILY DENTISTRY
450 MILL ST STE 101
FONTANA, WI 53125-1242
Phone number: 262-275-8080
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Mailing Address
FONTANA FAMILY DENTISTRY
450 MILL ST STE 101
FONTANA, WI 53125-1242
Phone number: 262-275-8080
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