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Individual

DR. DONALD EDWARD FANNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
4104 E STAN SCHLUETER LOOP, SUITE 4, KILLEEN, TX 76542-7872
(254) 690-3600
(254) 690-3639
Mailing address
4104 E STAN SCHLUETER LOOP, SUITE 4, KILLEEN, TX 76542-7872
(254) 690-3600
(254) 690-3639

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14747
TX

Other

Enumeration date
09/02/2006
Last updated
07/08/2007
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