DR. Anita C Fountain, DDS

NPI #1902834005 in Goodyear, Arizona

Provider Information

NPI Number: 1902834005
Entity Type: Individual
Name: DR. Anita C Fountain, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 28, 2006
Last Updated: Nov 4, 2007

Practice Location

Address: 14122 W MCDOWELL RD
Address 2: STE. 200
City: Goodyear
State: Arizona
ZIP Code: 85395-2503
Phone: (623) 536-2040

Specialties & Taxonomy Codes

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

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