Individual
DR. THOMAS GLEN FELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS LTD
Contact information
Practice address
3115 S. UNIVERSITY DR., FARGO, ND 58103
(701) 232-8884
(701) 232-6064
Mailing address
3115 S. UNIVERSITY DRIVE, FARGO, ND 58103
(701) 232-8884
(701) 232-6064
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1493
ND
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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