Individual
DR. STACIE JEANNELLE FECHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13316 METCALF AVE, OVERLAND PARK, KS 66213-2804
(913) 851-5110
Mailing address
6508 W 65TH TER, OVERLAND PARK, KS 66202-4105
(314) 651-0148
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61616
KS
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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