Individual
DR. MICHAEL LEWIS FELLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1695 N 7TH ST, LEBANON, PA 17046-2103
(717) 274-2514
Mailing address
1695 N 7TH ST, LEBANON, PA 17046-2103
(717) 274-2514
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS038665
PA
Other
Enumeration date
07/06/2011
Last updated
09/07/2015
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