Organization
MICHAEL L. FELLIN, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LEWIS FELLIN DMD (PRESIDENT)
(717) 274-2514
Entity
Organization
Contact information
Practice address
1695 N 7TH ST, LEBANON, PA 17046-2103
(717) 274-2514
Mailing address
1695 N 7TH ST, LEBANON, PA 17046-2103
(717) 274-2514
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS038665
PA
Other
Enumeration date
11/22/2014
Last updated
09/07/2015
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