Individual
DOREEN M FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
2295 S. HIAWASSEE RD, ORLANDO, FL 32735
(407) 578-3734
(407) 578-6394
Mailing address
2295 S HIAWASSEE RD STE 215, ORLANDO, FL 32835-8747
(407) 578-3734
(407) 578-6394
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 0014435
FL
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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