Organization
DANA M FETTEROLF DMD AND KEITH R FETTEROLF DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH R. FETTEROLF DMD (PRESIDENT)
(717) 233-7718
Entity
Organization
Contact information
Practice address
4400 DEER PATH RD, SUITE 104, HARRISBURG, PA 17110-3908
(717) 233-7718
(717) 233-7729
Mailing address
4400 DEER PATH RD, SUITE 104, HARRISBURG, PA 17110-3908
(717) 233-7718
(717) 233-7729
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS031414L
PA
Other
Enumeration date
03/06/2007
Last updated
06/18/2008
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