| Cletus A Fonmedig Dds Llc | |
|
1709 Chesaco Ave Rosedale MD 21237-1518 | |
| (301) 437-7749 | |
| Not Available |
| Full Name | Cletus A Fonmedig Dds Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1709 Chesaco Ave, Rosedale, Maryland |
| Authorized Official Name and Position | Cletus Fonmedig (MEMBER) |
| Authorized Official Contact | 3014377749 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cletus A Fonmedig Dds Llc 1709 Chesaco Ave Rosedale MD 21237-1518 Ph: (410) 866-5550 | Cletus A Fonmedig Dds Llc 1709 Chesaco Ave Rosedale MD 21237-1518 Ph: (301) 437-7749 |
| NPI Number | 1528807708 |
|---|---|
| Provider Enumeration Date | 05/20/2024 |
| Last Update Date | 05/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528807708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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