# DR. CHRISTOPHER D FANGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1154843258
- **Gender:** Man
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 61044416 | WA | Yes |
| 122300000X | Dentist | D-4864 | ID | — |

## Other

- **Enumeration date:** 07/10/2017
- **Last updated:** 01/29/2025
