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Individual

MRS. JENNIFER SOPHIA FANTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS DDS

Contact information

Practice address
24459 GODDARD RD, TAYLOR, MI 48180
(734) 946-8620
(734) 946-6272
Mailing address
13115 ARGYLE ST, SOUTHGATE, MI 48195
(734) 283-4945

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901018627
MI

Other

Enumeration date
04/04/2007
Last updated
07/08/2007
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