DR. Ronald D Fortgang, DDS

NPI #1457527061 in Old Tappan, New Jersey

Provider Information

NPI Number: 1457527061
Entity Type: Individual
Name: DR. Ronald D Fortgang, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 3, 2008
Last Updated: May 3, 2008

Practice Location

Address: 16 ARROWHEAD RD
City: Old Tappan
State: New Jersey
ZIP Code: 07675-7129
Phone: (201) 664-8647

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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