Organization
KEITH FETTEROLF, DMD, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH FETTEROLF DMD (OWNER)
(919) 329-6101
Entity
Organization
Contact information
Practice address
142 SHENSTONE LN, GARNER, NC 27529-6902
(919) 329-6101
Mailing address
142 SHENSTONE LN, GARNER, NC 27529-6902
(919) 329-6101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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