Dr. Ronald D Fortgang, DDS
Dentist in Old Tappan, NJ. Individual provider (NPI-1).
NPI number1457527061
StatusActive
Last updated in NPPESMay 3, 2008
Details
- NPI
- 1457527061
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ronald D Fortgang
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 3, 2008
- Last updated
- May 3, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 22D100673400 | NJ | Yes |
Practice location
16 Arrowhead RdOld Tappan, NJ 07675-7129
Phone 201-664-8647 · Fax 201-664-8647
Mailing address
16 Arrowhead RdOld Tappan, NJ 07675-7129
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