Individual
NATHAN ANDREWS FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5451 MONTGOMERY RD, CINCINNATI, OH 45212-1708
(513) 631-6600
Mailing address
2819 LANGDON FARM RD, CINCINNATI, OH 45212-1349
(513) 373-1115
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30024178
OH
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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