| Fontana Family Dentistry | |
|
450 Mill St Ste 101 Fontana WI 53125-1242 | |
| (262) 275-8080 | |
| (262) 275-5890 |
| Full Name | Fontana Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 450 Mill St Ste 101, Fontana, Wisconsin |
| Authorized Official Name and Position | Genie Kubel (CONTACT OFFICER) |
| Authorized Official Contact | 9204500157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fontana Family Dentistry 450 Mill St Ste 101 Fontana WI 53125-1242 Ph: (262) 275-8080 | Fontana Family Dentistry 450 Mill St Ste 101 Fontana WI 53125-1242 Ph: (262) 275-8080 |
| NPI Number | 1811059041 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811059041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |