Individual
DR. JAY EDWARD FANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2102 PECOS ST STE 1, SAN ANGELO, TX 76901-3061
(325) 944-4984
Mailing address
5618 WOODBINE LN, SAN ANGELO, TX 76904
(325) 654-3676
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2612-91
MS
Other
Enumeration date
10/02/2006
Last updated
09/22/2022
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