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1861594061
DONALD A FANTUZZO
MARTINSVILLE, IN
NPI
1861594061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12010681A)
Enumeration Date
2006-09-01
Last Update Date
2019-07-11
Business Address
DONALD A FANTUZZO DDS
1690 S OHIO ST
MARTINSVILLE, IN 46151-3317
Phone number: 765-342-8435
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Mailing Address
DONALD A FANTUZZO DDS
6414 LITTLE FLOCK RD
SPENCER, IN 47460-5889
Phone number: 812-876-4179
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