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DR. ALAN LEE FAHNDRICH DDS
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1639160104
Individual Registrant:DR. ALAN LEE FAHNDRICH DDS
Gender: M
Gender: M
Location and contact information for practice:
5342 DUDLEY BLVD MCCLELLAN, CA 95652-1012 US
Tel: 916-561-7827 Fax: --
Tel: 916-561-7827 Fax: --
Contact information for business:
234 BRIGGS RANCH DR FOLSOM, CA 95630-5262 US
Tel: 916-351-8155 Fax: --
Tel: 916-351-8155 Fax: --
Registration Information:
NPI: 1639160104
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | CA | 32068 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
