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Individual

DR. PAUL HOKE FELLERS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
24208 US HIGHWAY 98, SUITE C, FAIRHOPE, AL 36532-3466
(251) 928-3030
(251) 928-2455
Mailing address
303 N SECTION STREET, FAIRHOPE, AL 36532
(251) 928-3030
(251) 928-2455

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5292
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009990685
AL
Enumeration date
10/11/2007
Last updated
09/24/2013
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