Individual
DANIEL MATTHEW FENTRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 ALHAMBRA AVE, MARTINEZ, CA 94553-3156
(925) 370-5110
(925) 370-5142
Mailing address
595 CENTER AVE, SUITE 300, MARTINEZ, CA 94553-4633
(925) 313-6098
(925) 313-6599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A109455
CA
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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