DR. Jennifer J Fontaine, D.D.S.

NPI #1053422022 in Portage, Indiana

Provider Information

NPI Number
1053422022
Entity Type
Individual
Name
DR. Jennifer J Fontaine, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Aug 31, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
6450 US HIGHWAY 6
State
Indiana
ZIP Code
46368-5110
Phone
(219) 763-8112

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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