Individual
DR. MICHAEL JORDAN FETNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
7043 SOUTHPOINT PKWY S STE B, JACKSONVILLE, FL 32216-8742
(904) 296-8343
Mailing address
7043 SOUTHPOINT PKWY S STE B, JACKSONVILLE, FL 32216-8742
(904) 296-8343
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN19049
FL
Other
Enumeration date
11/30/2010
Last updated
06/23/2016
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