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Individual

DR. CARROL ANN FENN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
400 EXECUTIVE CENTER DR, SUITE # 105, WEST PALM BEACH, FL 33401-2917
(561) 686-3335
(561) 687-9183
Mailing address
400 EXECUTIVE CENTER DR, SUITE # 105, WEST PALM BEACH, FL 33401-2917
(561) 686-3335
(561) 687-9183

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN8864
FL

Other

Enumeration date
07/31/2008
Last updated
07/31/2008
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