Individual
MAKENZIE JO FENTRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9201 N DIXIE DR, DAYTON, OH 45414-1862
(937) 890-0023
Mailing address
1508 N WEBB RD, WILMINGTON, OH 45177-8457
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.027520
OH
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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