| Walter D. Fonfara, D.d.s., P.c. | |
|
542 Norwich Rd Plainfield CT 06374-1725 | |
| (860) 564-1689 | |
| (860) 564-1848 |
| Full Name | Walter D. Fonfara, D.d.s., P.c. |
|---|---|
| Speciality | Dentist |
| Location | 542 Norwich Rd, Plainfield, Connecticut |
| Authorized Official Name and Position | Walter Fonfara (OWNER) |
| Authorized Official Contact | 8605641689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walter D. Fonfara, D.d.s., P.c. 542 Norwich Rd Plainfield CT 06374-1725 Ph: (860) 564-1689 | Walter D. Fonfara, D.d.s., P.c. 542 Norwich Rd Plainfield CT 06374-1725 Ph: (860) 564-1689 |
| NPI Number | 1033440961 |
|---|---|
| Provider Enumeration Date | 01/15/2010 |
| Last Update Date | 01/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033440961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7841 (Connecticut) | Primary |
Mohan Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 721 Norwich Rd, Plainfield, CT 06374 Phone: 408-391-6024 |