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DR. ANITA FENN D.M.D.
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1972611507
Individual Registrant:DR. ANITA FENN D.M.D.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
175 N MIDWAY ST CLAYTON, AL 36016-3119 US
Tel: 334-775-8951 Fax: --
Tel: 334-775-8951 Fax: --
Contact information for business:
175 N MIDWAY ST CLAYTON, AL 36016-3119 US
Tel: 334-775-8951 Fax: --
Tel: 334-775-8951 Fax: --
Registration Information:
NPI: 1972611507
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | AL | 4632 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
