Individual
DR. KLYNE CHANNING FAWCETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2138 HELTON DR, FLORENCE, AL 35630-1449
(256) 766-5112
(256) 760-1063
Mailing address
2138 HELTON DR, FLORENCE, AL 35630-1449
(256) 766-5112
(256) 760-1063
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
6664
AL
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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