| Christine A Fortmann Dds Inc | |
|
32281 Camino Capistrano Ste C102 San Juan Capistrano CA 92675-3784 | |
| (949) 429-8833 | |
| Not Available |
| Full Name | Christine A Fortmann Dds Inc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 32281 Camino Capistrano Ste C102, San Juan Capistrano, California |
| Authorized Official Name and Position | Christine Fortmann (OWNER) |
| Authorized Official Contact | 9494298833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christine A Fortmann Dds Inc 32281 Camino Capistrano Ste C102 San Juan Capistrano CA 92675-3784 Ph: (949) 429-8833 | Christine A Fortmann Dds Inc 32281 Camino Capistrano Ste C102 San Juan Capistrano CA 92675-3784 Ph: (949) 429-8833 |
| NPI Number | 1013532324 |
|---|---|
| Provider Enumeration Date | 06/11/2020 |
| Last Update Date | 07/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013532324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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