CRAIG H FOUNTAIN

TRAVERSE CITY, MI
NPI1992759625
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: MI  2901018208)
Enumeration Date2006-05-19
Last Update Date2007-12-27
Business Address
-- CRAIG H FOUNTAIN dds
12776 S WEST BAY SHORE DR
TRAVERSE CITY, MI 49684-5451
Phone number: 231-946-3512
Mailing Address
-- CRAIG H FOUNTAIN dds
1010 CASS ST
TRAVERSE CITY, MI 49684-3234
Phone number: 231-392-5810
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