Individual
DR. CHARLES RICHARD FANA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7130 HODGSON MEMORIAL DR, STE 103, SAVANNAH, GA 31406-1526
(912) 352-3955
Mailing address
7130 HODGSON MEMORIAL DR, STE 103, SAVANNAH, GA 31406-1526
(912) 352-3955
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0116627
GA
Other
Enumeration date
03/05/2007
Last updated
05/09/2016
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