Individual
BRITTANY FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13201 NEW BERLIN RD, JACKSONVILLE, FL 32226
(909) 047-5375
Mailing address
3900 STARRATT RD, JACKSONVILLE, FL 32226-1330
(903) 530-0205
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
122300000
FL
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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