| John J Fonder Dmd Inc | |
|
1444 South Norfolk Avenue Tulsa OK 74120-5611 | |
| (918) 747-8802 | |
| (918) 584-8805 |
| Full Name | John J Fonder Dmd Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1444 South Norfolk Avenue, Tulsa, Oklahoma |
| Authorized Official Name and Position | John J Fonder (OWNER PRESIDENT) |
| Authorized Official Contact | 9187478802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John J Fonder Dmd Inc 1444 South Norfolk Avenue Tulsa OK 74120-5611 Ph: (918) 747-8802 | John J Fonder Dmd Inc 1444 South Norfolk Avenue Tulsa OK 74120-5611 Ph: (918) 747-8802 |
| NPI Number | 1134387160 |
|---|---|
| Provider Enumeration Date | 05/27/2008 |
| Last Update Date | 05/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134387160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | 4514 (Oklahoma) | Primary |
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