Paul Michael Fortunato, D.M.D., M.S., ABGD
NPI #1396715165 in Usaf Academy, Colorado
Provider Information
- NPI Number
- 1396715165
- Entity Type
- Individual
- Name
- Paul Michael Fortunato, D.M.D., M.S., ABGD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D., M.S., ABGD
- Enumeration Date
- Jan 25, 2006
- Last Updated
- Jul 7, 2008
Practice Location
- Address
- 4102 PINION DR
- Address 2
- 10 MEDICAL GROUUP
- City
- Usaf Academy
- State
- Colorado
- ZIP Code
- 80840-2502
- Phone
- (719) 333-5592
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