Individual
DR. DANIEL FAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4700 LEXINGTON AVE N STE A, SHOREVIEW, MN 55126-5964
(651) 483-1858
Mailing address
4700 LEXINGTON AVE N STE A, SHOREVIEW, MN 55126-5964
(651) 483-1858
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14398
MN
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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