Organization
MARK D & KATHRYN E FENTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN E FENTON O.D. (PARTNER)
(937) 382-6643
Entity
Organization
Contact information
Practice address
151 W MAIN ST, WILMINGTON, OH 45177-2238
(937) 382-6643
(937) 382-6644
Mailing address
151 W MAIN ST, WILMINGTON, OH 45177-2238
(937) 382-6643
(937) 382-6644
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
4190
OH
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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