Organization
FETNER AND HARTIGAN, PERIODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN E. FETNER D.M.D. (DOCTOR)
(904) 296-8343
Entity
Organization
Contact information
Practice address
7043 SOUTHPOINT PKWY STE B, JACKSONVILLE, FL 32216-8742
(904) 296-8343
(904) 296-8663
Mailing address
7043 SOUTHPOINT PKWY S STE B, JACKSONVILLE, FL 32216-8712
(904) 296-8343
(904) 296-8663
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN8387
FL
Other
Enumeration date
01/28/2010
Last updated
07/16/2012
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