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Individual

REBECCA JEANNE FERNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
4621 W 6TH ST, LAWRENCE, KS 66049-4189
(785) 838-5650
Mailing address
4621 W 6TH ST, LAWRENCE, KS 66049-4189
(785) 838-5650

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
61194
KS

Other

Enumeration date
06/16/2015
Last updated
07/18/2023
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