Cletus a Fonmedig DDS LLC

NPI #1528807708 in Rosedale, Maryland

Provider Information

NPI Number: 1528807708
Entity Type: Organization
Organization Name: Cletus a Fonmedig DDS LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 20, 2024
Last Updated: May 20, 2024

Practice Location

Address: 1709 CHESACO AVE
City: Rosedale
State: Maryland
ZIP Code: 21237-1518
Phone: (301) 437-7749

Authorized Official

Name: CLETUS FONMEDIG, DDS
Title: MEMBER
Phone: (301) 437-7749

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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