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DR. ANITA FENN D.M.D.

>> Dentist >> Dental Providers

Registrant NPI Number: 1972611507

Individual Registrant:
DR. ANITA  FENN D.M.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
175 N MIDWAY ST  CLAYTON, AL 36016-3119 US
Tel: 334-775-8951  Fax: --

Contact information for business:
175 N MIDWAY ST  CLAYTON, AL 36016-3119 US
Tel: 334-775-8951  Fax: --

Registration Information:
NPI: 1972611507
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
AL4632

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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