Individual
DR. ROGER L FENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
519 SW 3RD ST, SUITE G, LEES SUMMIT, MO 64063-2258
(816) 524-3434
(816) 524-3622
Mailing address
519 SW 3RD ST, SUITE G, LEES SUMMIT, MO 64063-2258
(816) 524-3434
(816) 524-3622
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
MO 14150
MO
Other
Enumeration date
02/09/2009
Last updated
03/11/2011
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