Individual
DAVID MAX FELLARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3607 ALOMA AVE STE 1031, OVIEDO, FL 32765-8856
(321) 304-6777
Mailing address
6244 WOODHAVEN VILLAGE DR, PORT ORANGE, FL 32128-6850
(760) 889-8226
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
51777
CA
1223G0001X
General Practice Dentistry
Primary
DN26885
FL
Other
Enumeration date
12/20/2007
Last updated
06/07/2022
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