Individual
DR. CASSANDRA MAE FEVELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4700 WISSAHICKON AVE STE 118, PHILADELPHIA, PA 19144-4248
(267) 597-3600
Mailing address
4700 WISSAHICKON AVE, BLDG D, SUITE 118, PHILADELPHIA, PA 19144
(267) 597-3600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS041269
PA
Other
Enumeration date
07/27/2015
Last updated
07/21/2022
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