DR. Jeffrey Theodore Fondak, D.D.S.

NPI #1184730392 in Carthage, New York

Provider Information

NPI Number
1184730392
Entity Type
Individual
Name
DR. Jeffrey Theodore Fondak, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Prosthodontics
Credential
D.D.S.
Enumeration Date
Aug 21, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
33054 STATE ROUTE 26
ZIP Code
13619-8600
Phone
(315) 493-2106

Specialties & Taxonomy Codes

Specialty
Dentist - ProsthodonticsProsthodontics

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Organizations

Provider Name
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