Individual
DR. ALENA MARIE FEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901022449
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
ETN314
TX
390200000X
Student in an Organized Health Care Education/Training Program
ETN314
TX
Other
Enumeration date
04/20/2015
Last updated
09/01/2021
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