Organization
FANELLI ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER MICHAEL FANELLI DDS, MS (OWNER)
(717) 725-2453
Entity
Organization
Contact information
Practice address
5677 S 1475 E STE 2A, SOUTH OGDEN, UT 84403-7003
(801) 479-9800
Mailing address
5677 S 1475 E STE 2A, SOUTH OGDEN, UT 84403-7003
(717) 725-2453
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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