Individual
DR. SARAH KENNEDY FODOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
410 E WASHINGTON ST, SLINGER, WI 53086
(262) 644-6951
Mailing address
2257 S WOODWARD ST, MILWAUKEE, WI 53207-1315
(517) 581-0059
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001966-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/01/2018
Last updated
06/13/2019
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