| Harry S Fountain Dds Pc | |
|
8540 N Canton Center Rd Canton MI 48187-1310 | |
| (734) 459-1110 | |
| Not Available |
| Full Name | Harry S Fountain Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8540 N Canton Center Rd, Canton, Michigan |
| Authorized Official Name and Position | Harry Sims Fountain (PRESIDENT) |
| Authorized Official Contact | 7344591110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harry S Fountain Dds Pc 8540 N Canton Center Rd Canton MI 48187-1310 Ph: (734) 459-1110 | Harry S Fountain Dds Pc 8540 N Canton Center Rd Canton MI 48187-1310 Ph: (734) 459-1110 |
| NPI Number | 1053434225 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053434225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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