Individual
DR. DANA EVAN FENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
114 PETERSON AVE N STE 305, DOUGLAS, GA 31533-3709
(912) 384-1560
(912) 383-7578
Mailing address
114 PETERSON AVE N STE 305, DOUGLAS, GA 31533-3709
(912) 384-1560
(912) 383-7578
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
GA
Other
Enumeration date
11/08/2006
Last updated
04/17/2008
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