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DR. JOSEPH D FENNELL D.M.D.

>> Dentist >> Dental Providers

Registrant NPI Number: 1508041419

Individual Registrant:
DR. JOSEPH D FENNELL D.M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3404 COKESBURY ROAD  HODGES, SC 29653 US
Tel: 864-227-6911  Fax: 864-227-8678

Contact information for business:
3404 COKESBURY ROAD  HODGES, SC 29653 US
Tel: 864-227-6911  Fax: 864-227-8678

Registration Information:
NPI: 1508041419
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
SC3876

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS SC - Page 1



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