DR. Theodore A Fornetti, DDS

NPI #1083861348 in Iron Mountain, Michigan

Provider Information

NPI Number
1083861348
Entity Type
Individual
Name
DR. Theodore A Fornetti, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Aug 19, 2008
Last Updated
Aug 19, 2008

Practice Location

Address
1115 S HEMLOCK ST
Address 2
SUITE 1
ZIP Code
49801-3800
Phone
(906) 774-2776

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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