Type not stated

Christopher Clarke Fortin

United States. Named in 1 sanctions listing.

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Summary

License number: G2-00001194

Sanctions and listings1

  • Effective
    19 Jan 2017
    Ended
    12 Mar 2020

    Official designation

    Delaware Board of Dentistry and Dental HygieneUS Delaware Medicaid Sanctioned ProvidersUnited States

    Provider was suspended, (stayed immediately), assigned remedial education, and placed on probation 1/19/17 for period of 3 years

    medicaid.dhss.delaware.gov

Identifiers1

IdentifierNumber
NPI number1528270022

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