Individual
DR. BEVERLY J FANZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
625 W NATIONAL RD, ENGLEWOOD, OH 45322-1162
(937) 836-7911
(937) 836-6655
Mailing address
625 W NATIONAL RD, ENGLEWOOD, OH 45322-1162
(937) 836-7911
(937) 836-6655
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17028
OH
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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