Individual
CHELSEA FOHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
626 CLINIC RD, HANNIBAL, MO 63401-3608
(573) 221-5719
Mailing address
626 CLINIC RD, HANNIBAL, MO 63401-3608
(573) 221-5719
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2017018060
MO
1223G0001X
General Practice Dentistry
Primary
2017018060
MO
Other
Enumeration date
07/06/2017
Last updated
12/02/2020
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