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Individual
DR. STEPHEN FENCHEL
Active
Individual
DR. STEPHEN FENCHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019 017942
IL
1223G0001X
General Practice Dentistry
Primary
019 017942
IL
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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