| Donald Fantuzzo, Dds, Inc. | |
|
1690 S Ohio St Martinsville IN 46151-3317 | |
| (765) 352-8435 | |
| Not Available |
| Full Name | Donald Fantuzzo, Dds, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1690 S Ohio St, Martinsville, Indiana |
| Authorized Official Name and Position | Donald A Fantuzzo (OWNER/DENTIST) |
| Authorized Official Contact | 8128764179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald Fantuzzo, Dds, Inc. 6414 Little Flock Rd Spencer IN 47460-5889 Ph: (812) 876-4179 | Donald Fantuzzo, Dds, Inc. 1690 S Ohio St Martinsville IN 46151-3317 Ph: (765) 352-8435 |
| NPI Number | 1679125504 |
|---|---|
| Provider Enumeration Date | 07/11/2019 |
| Last Update Date | 07/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679125504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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