Individual
DR. ANGELA R FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
204 W HILL BLVD, BLDG 364, CHARLESTON AFB, SC 29404-4704
(843) 963-6879
Mailing address
204 W HILL BLVD, BLDG 364, CHARLESTON AFB, SC 29404-4704
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6160-015
WI
Other
Enumeration date
08/10/2007
Last updated
10/16/2008
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