Organization
DR. DANA E. FENDER, D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA E FENDER DMD (OWNER)
(912) 381-1560
Entity
Organization
Contact information
Practice address
1214 PETERSON AVE N STE G, DOUGLAS, GA 31533-2836
(912) 381-1560
Mailing address
1214 PETERSON AVE N STE G, DOUGLAS, GA 31533-2836
(912) 381-1560
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN011155
GA
Other
Enumeration date
05/03/2018
Last updated
05/04/2018
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