Individual
TINA FANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 MILL ST, DANVILLE, PA 17821-1015
(610) 223-7777
Mailing address
555 MILL ST, DANVILLE, PA 17821-1015
(610) 223-7777
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS040988
PA
Other
Enumeration date
07/28/2016
Last updated
04/11/2024
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