Individual
DR. ANDREW FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
75 W MAIN STREET CT STE 200, ALPINE, UT 84004-5602
(801) 756-9779
Mailing address
155 S. 100 W., ALPINE, UT 84004
(801) 756-9779
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
47253509921
UT
Other
Enumeration date
09/12/2005
Last updated
09/05/2007
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