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Organization
DANIEL FAMA DDS LLC
Active
Organization
DANIEL FAMA DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL FAMA DDS (DENTIST)
(585) 705-5750
Entity
Organization
Contact information
Practice address
2805 LIBAL ST STE C, GREEN BAY, WI 54301-2888
(920) 339-8980
Mailing address
3142 ANSTON RD, SUAMICO, WI 54313-8222
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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