Individual
MRS. ANGELA SAINT FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4000 BALMORAL DR SW, STE 102, HUNTSVILLE, AL 35801-6402
(256) 880-8436
(256) 880-8325
Mailing address
4000 BALMORAL DR SW, STE 102, HUNTSVILLE, AL 35801-6402
(256) 880-8436
(256) 880-8325
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4404
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
831591
TRICARE
—
01
—
90832
BCBS
AL
Enumeration date
07/01/2005
Last updated
07/08/2007
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