Individual
DR. DANIEL M FENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9140 S FEDERAL HWY, PORT ST LUCIE, FL 34952-3485
(772) 202-9988
Mailing address
9140 S FEDERAL HWY, PORT ST LUCIE, FL 34952-3485
(772) 202-9988
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN19223
FL
Other
Enumeration date
07/21/2010
Last updated
02/11/2016
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