Individual
DEAN E FEWTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
311 PAJARO ST, SALINAS, CA 93901-3421
(831) 424-6201
(831) 757-4509
Mailing address
311 PAJARO ST, SALINAS, CA 93901-3421
(831) 424-6201
(831) 757-4509
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT7793T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841325834
—
CA
Enumeration date
10/04/2006
Last updated
04/13/2017
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