Individual
DR. KIRSTEN J FANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
50505 SCHOENHERR RD, SHELBY TOWNSHIP, MI 48315-3140
(586) 803-8300
Mailing address
3100 E EISENHOWER PKWY STE 300, ANN ARBOR, MI 48108-5205
(630) 292-9302
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022770
MI
Other
Enumeration date
09/19/2018
Last updated
12/03/2021
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