Individual
DR. H MICHAEL FACKENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
107 NOBLE AVE, PITTSBURGH, PA 15205
(412) 928-8484
Mailing address
128 FIELDGATE DRIVE, PITTSBURGH, PA 15241
(412) 833-0751
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
PA021369L
PA
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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