Organization
CHARLES R. FANA JR., DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES RICHARD FANA JR. DMD (PRESIDENT)
(912) 352-3955
Entity
Organization
Contact information
Practice address
7130 HODGSON MEMORIAL DR, STE 103, SAVANNAH, GA 31406-1526
(912) 352-3955
Mailing address
7130 HODGSON MEMORIAL DR, STE 103, SAVANNAH, GA 31406-1526
(912) 352-3955
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011627
GA
Other
Enumeration date
03/05/2007
Last updated
05/09/2016
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